Pre- and post-operative mechanical circulatory support in surgical repair of post-acute myocardial infarction mechanical complications.

Mechanical circulatory support (MCS) left ventricular assist device mechanical complication ventricular septal rupture (VSR)

Journal

Annals of cardiothoracic surgery
ISSN: 2225-319X
Titre abrégé: Ann Cardiothorac Surg
Pays: China
ID NLM: 101605877

Informations de publication

Date de publication:
May 2022
Historique:
received: 25 11 2021
accepted: 22 03 2022
entrez: 23 6 2022
pubmed: 24 6 2022
medline: 24 6 2022
Statut: ppublish

Résumé

The outcomes of patients with acute myocardial infarctions (AMI) have significantly improved with advances in early reperfusion strategies; however, patients with massive infarcts or those who do not receive timely revascularization may develop mechanical complications of AMI. The most common mechanical complications are ventricular septal rupture (VSR), acute mitral regurgitation (MR) due to papillary muscle rupture, and free-wall rupture. Each complication is associated with a high risk of morbidity and mortality, and requires a multidisciplinary approach for prompt diagnosis and hemodynamic stabilization. Surgery is the mainstay of therapy but is associated with poor outcomes if performed too early during the treatment course for VSR or if performed too late with MR and free wall rupture. Optimal timing for surgery in combination with temporary circulatory support may be a feasible strategy for better results.

Identifiants

pubmed: 35733711
doi: 10.21037/acs-2021-ami-206
pii: acs-11-03-304
pmc: PMC9207699
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

304-309

Informations de copyright

2022 Annals of Cardiothoracic Surgery. All rights reserved.

Déclaration de conflit d'intérêts

Conflicts of Interest: The authors have no conflicts of interest to declare.

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Auteurs

Anju Bhardwaj (A)

The University of Texas Health Science Center at Houston, Houston, TX, USA.

Sachin Kumar (S)

The University of Texas Health Science Center at Houston, Houston, TX, USA.

Ismael A Salas de Armas (IA)

The University of Texas Health Science Center at Houston, Houston, TX, USA.

Angelo Nascimbene (A)

The University of Texas Health Science Center at Houston, Houston, TX, USA.

Sriram Nathan (S)

The University of Texas Health Science Center at Houston, Houston, TX, USA.

Biswajit Kar (B)

The University of Texas Health Science Center at Houston, Houston, TX, USA.

Igor D Gregoric (ID)

The University of Texas Health Science Center at Houston, Houston, TX, USA.

Classifications MeSH