Early cardiac unloading with ImpellaCP ™ in acute myocardial infarction with ventricular septal defect
We describe two cases of ventr icular septal defect complicating acute myocardial infarction, where the percutaneous ImpellaCP was implanted early (differently than previously described) with the aim of preventing haemodynamic instability, while deferring surgical repair. We present a report of haemodynamic, echocardiographic, bi ochemical, and clinical data of two consecutive cases of ImpellaCP use, within a minimally invasive monitoring and therapeutic approach. In two cases of subacute myocardial infarctionârelated ventricular septal defect not amenable to percutaneous device closure, the use ImpellaCP was successful: i t was followed by effective and rapid right and left ventricular unloading, by major haemodynamic instability prevention and protection from systemic venous congestion, from kidney and splanchnic organ failures. This allowed bridging to appropriately timed surgical repair. These cases suggest a pote ntially effective, clinically grounded strategy in the early management of ischaemic ventricular septal defect patients, with the aim of deferring surgery beyond the safer 7 days cutoff associated with a lower perioperative mortality.
Source: ESC Heart Failure - Category: Cardiology Authors: Gabriele Via,
Stefania Buson,
Guido Tavazzi,
Geza Halasz,
Angelo Quagliana,
Marco Moccetti,
Stefanos Demertzis,
Tiziano Cassina Tags: Case Report Source Type: research
More News: Cardiology | Gastroschisis Repair | Heart | Heart Attack | Heart Failure | Hole in the Heart | Urology & Nephrology | Ventricular Septal Defect