Journal of Chest Surgery

  • 제50권3호
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  • Pages.211-214
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  • 2017
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  • 2765-1606(pISSN)
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  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
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Delayed Repair of Ventricular Septal Rupture Following Preoperative Awake Extracorporeal Membrane Oxygenation Support

  • Park, Bong Suk (Department of Cardiothoracic Surgery, Hanllym University Sacred Heart Hospital, Hanllym University College of Medicine) ;
  • Lee, Weon Yong (Department of Cardiothoracic Surgery, Hanllym University Sacred Heart Hospital, Hanllym University College of Medicine) ;
  • Lim, Jung Hyeon (Department of Cardiothoracic Surgery, Hanllym University Sacred Heart Hospital, Hanllym University College of Medicine) ;
  • Ra, Yong Joon (Department of Cardiothoracic Surgery, Hanllym University Sacred Heart Hospital, Hanllym University College of Medicine) ;
  • Kim, Yong Han (Department of Cardiothoracic Surgery, Hanllym University Sacred Heart Hospital, Hanllym University College of Medicine) ;
  • Kim, Hyoung Soo (Department of Cardiothoracic Surgery, Hanllym University Sacred Heart Hospital, Hanllym University College of Medicine)
  • 투고 : 2016.08.04
  • 심사 : 2016.11.07
  • 발행 : 2017.06.05
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초록

Outcomes of ventricular septal rupture (VSR) as a complication of acute myocardial infarction are extremely poor, with an in-hospital mortality rate of 45% in surgically treated patients and 90% in patients managed with medication. Delaying surgery for VSR is a strategy for reducing mortality. However, hemodynamic instability is the main problem with this strategy. In the present case, venoarterial extracorporeal membrane oxygenation (ECMO) was used to provide stable hemodynamic support before the delayed surgery. Awake ECMO was also used to avoiding the complications of sedatives and mechanical ventilation. Here, we describe a successful operation using awake ECMO as a bridge to surgery.

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참고문헌

  1. Crenshaw BS, Granger CB, Birnbaum Y, et al. Risk factors, angiographic patterns, and outcomes in patients with ventricular septal defect complicating acute myocardial infarction. GUSTO-I (Global Utilization of Streptokinase and TPA for Occluded Coronary Arteries) Trial Investigators. Circulation 2000;101:27-32. https://doi.org/10.1161/01.CIR.101.1.27
  2. Labrousse L, Choukroun E, Chevalier JM, et al. Surgery for post infarction ventricular septal defect (VSD): risk factors for hospital death and long term results. Eur J Cardiothorac Surg 2002;21:725-31. https://doi.org/10.1016/S1010-7940(02)00054-4
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  4. Alozie A, Kische S, Birken T, et al. Awake extracorporeal membrane oxygenation (ECMO) as bridge to recovery after left main coronary artery occlusion: a promising concept of haemodynamic support in cardiogenic shock. Heart Lung Circ 2014;23:e217-21. https://doi.org/10.1016/j.hlc.2014.06.008
  5. Schmidt F, Sasse M, Boehne M, et al. Concept of “awake venovenous extracorporeal membrane oxygenation” in pediatric patients awaiting lung transplantation. Pediatr Transplant 2013;17:224-30. https://doi.org/10.1111/petr.12001
  6. Abrams D, Javidfar J, Farrand E, et al. Early mobilization of patients receiving extracorporeal membrane oxygenation: a retrospective cohort study. Crit Care 2014;18:R38. https://doi.org/10.1186/cc13746

피인용 문헌

  1. Emergence of Ventricular Septal Rupture During Primary Coronary Intervention for Myocardial Infarction Manifested as Unexpected Coronary Blood Flow Disturbance vol.19, pp.None, 2017, https://doi.org/10.12659/ajcr.911084
  2. The role of perioperative cardiorespiratory support in post infarction ventricular septal rupture-related cardiogenic shock vol.9, pp.2, 2017, https://doi.org/10.1177/2048872618817485
  3. Delayed surgery after mechanical circulatory support for ventricular septal rupture with cardiogenic shock vol.31, pp.6, 2017, https://doi.org/10.1093/icvts/ivaa185
  4. 2020 EACTS/ELSO/STS/AATS expert consensus on post-cardiotomy extracorporeal life support in adult patients vol.161, pp.4, 2017, https://doi.org/10.1016/j.jtcvs.2020.09.045
  5. Awake: benefits and caveats during extracorporeal membrane oxygenation vol.10, pp.6, 2017, https://doi.org/10.1093/ehjacc/zuab034
  6. Temporal trends in postinfarction ventricular septal rupture: the CIVIAM Registry vol.74, pp.9, 2017, https://doi.org/10.1016/j.rec.2020.07.010
  7. Tendencias temporales en comunicación interventricular posinfarto: resultados del registro CIVIAM vol.74, pp.9, 2017, https://doi.org/10.1016/j.recesp.2020.07.028