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J Thorac Cardiovasc Surg 2006;132:1238-1239
© 2006 The American Association for Thoracic Surgery

Brief Communication

Biventricular mechanical assist for complex, acute post-infarction ventricular septal defect

Chittoor B. Sai-Sudhakar, MBBS, FRCS, Michael S. Firstenberg, MD*, Benjamin Sun, MD

Department of Cardiothoracic Surgery, The Ohio State University, Columbus, Ohio.

Received for publication May 18, 2006; accepted for publication June 27, 2006.

* Address for reprints: Michael S. Firstenberg, MD, Division of Cardiothoracic Surgery, N846 Doan Hall, 410 W. 10th Avenue, The Ohio State University, Columbus, OH 43210. (Email: msfirst@gmail.com).

The first 20% of the full text of this article appears below.

Post-infarction ventricular septal defects (PI-VSDs) represent a catastrophic complication after acute myocardial infarctions. Despite advances in surgical and postoperative management, operative mortality is still 10% to 60%.1Go Furthermore, little has been written describing the options in managing the severe and often biventricular failure that is associated with PI-VSD and that is a significant factor influencing postoperative morbidity and mortality. We describe a patient with complex PI-VSD who, despite appropriate and prompt surgical management, required biventricular mechanical assist devices (biVADs) as a bridge to recovery.

Case Report

A 53-year-old man was admitted to an outside hospital with vague abdominal symptoms and a presumed diagnosis of acute cholecystitis. Severe hypotension and a new murmur shortly developed. Echocardiography revealed a large posteroinferior PI-VSD. After the patient was urgently transferred to our medical center, cardiac catheterization revealed a complete right coronary . . . [Full Text of this Article]






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