Post-infarct ventricular septal rupture: early Impella implantation to delay surgery and reduce surgical risk

Marco Bruno Ancona, Damiano Regazzoli, Antonio Mangieri, Fabrizio Monaco, Michele De Bonis, Azeem Latib

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Ventricular septal rupture (VSR) is a complication of myocardial infarction. Surgery is the only treatment; however, mortality is high, especially if it is performed within 7 days from presentation. The improved outcome with delayed intervention could be related to evolution of the infarct, which allows a more effective surgical repair. However, it is also a representation of survival bias, as an early surgery is usually performed on individuals with hemodynamic instability. We present a case of VSR complicated by cardiogenic shock. An early hemodynamic stabilization was achieved with Impella implantation; the delay in surgery allowed a reduction in surgical risk.

Original languageEnglish (US)
Pages (from-to)381-385
Number of pages5
JournalCardiovascular Intervention and Therapeutics
Volume32
Issue number4
DOIs
StatePublished - Oct 1 2017
Externally publishedYes

Keywords

  • Left ventricular assistance device
  • Surgical repair
  • Ventricular septal rupture

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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