Use of a Totally Artificial Heart for a Complex Postinfarction Ventricular Septal Defect

  • Ivan Knezevic
  • Matija Jelenc
  • Nenad Danojevic
  • Manca Racic
  • Gregor Poglajen
  • Jus Ksela
  • Vesna Androcec
  • Tomaz Mesar
  • Ursa Mikuz
  • Bojan Vrtovec

Abstract

The incidence of cardiac rupture complicating myocardial infarction has declined since the introduction of thrombolytic therapy. Despite the advances in the management of myocardial infarction, cardiac rupture remains an important cause of death among infarction-related fatalities. We discuss a patient who presented to our hospital with myocardial infarction and who subsequently developed a complex ventricular septal rupture, for which surgical repair was not feasible. Implantation of a CardioWest Total Artificial Heart (SynCardia Systems) allowed for immediate hemodynamic stabilization and served as a bridge to transplantation.

References

Arabia FA, Copeland JG, Pavie A, Smith RG. 1999. Implantation technique for the CardioWest Total Artificial Heart. Ann Thorac Surg 68:698-704.\nCooley DA, Belmonte BA, Zeis LB, Schnur S. 1957. Surgical repair of ruptured interventricular septum following acute myocardial infarction. Surgery 41:930-7.\nCopeland JG, Copeland H, Gustafson M, et al. 2012. Experience with more than 100 total artificial heart implants. J Thorac Cardiovasc Surg 143:727-34.\nCrenshaw BS, Granger CB, Birnbaum Y, et al. 2000. Risk factors, angiographic patterns, and outcomes in patients with ventricular septal defect complicating acute myocardial infarction. GUSTO-I (Global Utilization of Streptokinase and TPA for Occluded Coronary Arteries) Trial Investigators. Circulation 101:27-32.\nDeja MA, Szostek J, Widenka K, et al. 2000. Post infarction ventricular septal defect - can we do better? Eur J Cardiothorac Surg 18:194-201.\nFaber C, McCarthy PM, Smedira NG, et al. 2002. Implantable left ventricular assist device for patients with postinfarction ventricular septal defect. J Thorac Cardiovasc Surg 124:400-1.\nGregoric ID, Bieniarz MC, Arora H, et al. 2008. Percutaneous ventricular assist device support in a patient with a postinfarction ventricular septal defect. Tex Heart Inst J 35:46-9.\nKshettry VR, Salerno CT, Bank AJ. 1997. Risk of left ventricular assist device as a bridge to heart transplant following postinfarction ventricular septal rupture. J Card Surg 12:93-7.\nMenon V, Webb JG, Hillis LD, et al. 2000. Outcome and profile of ventricular septal rupture with cardiogenic shock after myocardial infarction: a report from the SHOCK Trial Registry. Should we emergently revascularize Occluded Coronaries in cardiogenic shock? J Am Coll Cardiol 36:1110-6.\nPitsis AA, Kelpis TG, Visouli AN, et al. 2008. Left ventricular assist device as a bridge to surgery in postinfarction ventricular septal defect. J Thorac Cardiovasc Surg 135:951-2.\nPoulsen SH, Praestholm M, Munk K, et al. 2008. Ventricular septal rupture complicating acute myocardial infarction: clinical characteristics and contemporary outcome. Ann Thorac Surg 85:1591-6.\n
Published
2013-06-26
How to Cite
Knezevic, I., Jelenc, M., Danojevic, N., Racic, M., Poglajen, G., Ksela, J., Androcec, V., Mesar, T., Mikuz, U., & Vrtovec, B. (2013). Use of a Totally Artificial Heart for a Complex Postinfarction Ventricular Septal Defect. The Heart Surgery Forum, 16(3), E155-E157. https://doi.org/10.1532/HSF98.20121142
Section
Articles