Insertion of Durable Left Ventricular Assist Device With Repair of Ischemic Ventricular Septal Rupture

Authors

Rahim Hirani, Division of Cardiothoracic Surgery, Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, New York, USA.
Suguru Ohira, Division of Cardiothoracic Surgery, Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, New York, USA.
David Spielvogel, Division of Cardiothoracic Surgery, Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, New York, USA.
Corazon De La Pena, Division of Cardiothoracic Surgery, Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, New York, USA.
Masashi Kai, Division of Cardiothoracic Surgery, Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, New York, USA.

Author Type(s)

Faculty

Journal Title

Journal of Cardiac Surgery

First Page

3896

Last Page

3898

Document Type

Article

Publication Date

11-1-2022

Department

Surgery

Abstract

BACKGROUND: A 63-year-old male who presented with acute anterior wall myocardial infarction with ischemic ventricular septal defect (VSD) required veno-arterial extracorporeal membrane oxygenation support due to a profoundly reduced left ventricular function. METHOD AND RESULS: The VSD was closed with a large bovine pericardial patches. Another Dacron patch was used to close the defect on the anterior wall. The inflow cannula of the left ventricular assist device (LVAD) was sewn to the Dacron patch to secure hemostasis and to maintain the cavity in the left ventricle. The Dacron patch beneath the inflow cuff was then incised, then the LVAD was connected. CONCLUSIONS: we described a case of concomitant insertion of durable LVAD and repair of ischemic VSD utilizing multiple patches.

Recommended Citation

Hirani, R., Ohira, S., Spielvogel, D., De La Pena, C., & Kai, M. (2022). Insertion of Durable Left Ventricular Assist Device With Repair of Ischemic Ventricular Septal Rupture. Journal of Cardiac Surgery, 37 (11), 3896-3898. https://doi.org/10.1111/jocs.16952