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KMID : 0364020170500030211
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Korean Journal of Thoracic and Cardiovascular Surgery
2017 Volume.50 No. 3 p.211 ~ p.214
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Delayed Repair of Ventricular Septal Rupture Following Preoperative Awake Extracorporeal Membrane Oxygenation Support
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Park Bong-Suk
Lee Weon-Yong
Lim Jung-Hyeon
Ra Yong-Joon
Kim Yong-Han
Kim Hyoung-Soo
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Abstract
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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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KEYWORD
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Ventricular septal rupture, Extracorporeal membrane oxygenation, Awake extracorporeal membrane oxygenation, Myocardial infarction
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