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Role of ECLS in Managing Post-myocardial Infarction Ventricular Septal Rupture
Jose Rodrigo Sandoval Boburg
Stoyan Kondov
Mladen Karamitev
Christian Schlensak
Rafal Berger
Helene Häberle
Walter Jost
Albi Fagu
Friedhelm Beyersdorf
Maximilian Kreibich
Martin Czerny
Matthias Siepe
出版
Universität
, 2023
URL
http://books.google.com.hk/books?id=x-pt0AEACAAJ&hl=&source=gbs_api
註釋
Abstract: Objectives: The aim of this study was to analyze outcomes in patients undergoing surgery for ventricular septal rupture (VSR) after myocardial infarction (MI) and the preoperative use of extracorporeal life support (ECLS) as a bridge to surgery. Methods: We included patients undergoing surgery for VSR from January 2009 until June 2021 from two centers in Germany. Patients were separated into two groups, those with and without ECLS, before surgery. Pre- and intraoperative data, outcome, and survival during follow-up were evaluated. Results: A total of 47 consecutive patients were included. Twenty-five patients were in the ECLS group, and 22 were in the group without ECLS. All the ECLS-group patients were in cardiogenic shock preoperatively. Most patients in the ECLS group were transferred from another hospital [n = 21 (84%) vs. no-ECLS (n = 12 (57.1%), p = 0.05]. We observed a higher number of postoperative bleeding complications favoring the group without ECLS [n = 6 (28.6%) vs. n = 16 (64%), p