Venoarterial Extracorporeal Membrane Oxygenation as A Bridge to Surgery in Post-Myocardial Infarction Ventricular Septal Defect with Cardiogenic Shock: Case Report

ABSTRACT We describe a 60-year-old woman with post-myocardial infarction (MI) ventricular septal defect (VSD) and cardiogenic shock who was successfully stabilized with veno-arterial extracorporeal membrane oxygenation (VA-ECMO) as a bridge therapy for the surgical closure of her VSD. This case highlights the role of VA-ECMO in the management of post-MI VSD to improve the results of surgical repair and patient survival.

摘要 本文报告1例60岁女性心肌梗死（myocardial infarction，MI）后室间隔缺损（ventricular septal defect，VSD）并发心源性休克患者，以静脉-动脉体外膜肺氧合（veno-arterial extracorporeal membrane oxygenation，VA-ECMO）作为外科闭合室间隔缺损的桥接治疗手段，成功稳定患者病情。本案例凸显了VA-ECMO在心肌梗死后室间隔缺损诊疗管理中的重要作用，可改善外科修复效果并提升患者生存率。