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Ann Thorac Surg 2009;87:e37-e39. doi:10.1016/j.athoracsur.2009.01.046
© 2009 The Society of Thoracic Surgeons
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Hendrik Treede
Hermann Reichenspurner
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Case Reports

Use of Initial Biventricular Mechanical Support in a Case of Postinfarction Ventricular Septal Rupture as a Bridge to Surgery

Lenard Conradi, MDa, Hendrik Treede, MDa, Jens Brickwedel, MDa, Hermann Reichenspurner, MD, PhDa,b,*

a Department of Cardiovascular Surgery, University Heart Center Hamburg, Hamburg, Germany
b University Medical Center Hamburg-Eppendorf, Hamburg, Germany

Accepted for publication January 20, 2009.

* Address correspondence to Dr Reichenspurner, Department of Cardiovascular Surgery, University Heart Center Hamburg, Martinistr 52, Hamburg, D-20246, Germany (Email: lconradi{at}uke.de).

The incidence of postinfarction ventricular septal rupture is declining as coronary revascularization techniques have become available for a large number of patients [1]. However, morbidity and mortality rates associated with this complication remain high. We report the case of a patient suffering from acute myocardial infarction who developed a postinfarction ventricular septal defect. Instead of attempting surgical closure, he was placed on biventricular mechanical support. After 2 weeks, surgical closure of the defect and concomitant explantation of the assist device were successfully performed. This approach may represent a new treatment option restoring hemodynamic stability and avoiding surgery on freshly infarcted myocardium.






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