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Ann Thorac Surg 1983;35:138-142
© 1983 The Society of Thoracic Surgeons

Articles

Postinfarction Ventricular Septal Defect: Delayed Closure with Prolonged Mechanical Circulatory Support

Richard Baillot, M.D., Conrad Pelletier, M.D.1, Julio Trivino-Marin, M.D., Yves Castonguay, M.D.

From the Department of Surgery, Montreal Heart Institute and Université de Montréal, Montreal, Que, Canada

Accepted for publication January 19, 1982.

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.




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