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：本文报道1例60岁女性心肌梗死后（MI）室间隔缺损（VSD）并发心源性休克的病例，该患者以静脉-动脉体外膜肺氧合（VA-ECMO）作为VSD外科闭合术的桥接治疗手段，成功稳定了患者病情。本案例凸显了VA-ECMO在心肌梗死后VSD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。