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The Annals of Thoracic Surgery, Vol 35, 138-142, Copyright © 1983 by The Society of Thoracic Surgeons
R Baillot, C Pelletier, J Trivino-Marin and Y Castonguay
Three patients who had ventricular septal rupture and cardiogenic shock
complicating an acute myocardial infarction were treated by prolonged
circulatory assistance using intraaortic balloon pumping. Hemodynamic
stabilization was obtained, and surgical repair was delayed for 19 to 27
days after initiation of circulatory support. All three patients survived
the operation and were discharged from the hospital 13 to 19 days after
operation. Prolonged intraaortic balloon pumping in such patients is safe
and often induces hemodynamic stabilization. The patients may then be
operated on under more favorable conditions, without risk of multisystem
failure, and after fibrosis has developed around the septal rupture.
ARTICLES
Postinfarction ventricular septal defect: delayed closure with prolonged mechanical circulatory support
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