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Ann Card Anaesth. 2020 Jan-Mar;23(1):106-108. doi: 10.4103/aca.ACA_50_19.

Improving hemodynamics - Prolonged intra-aortic balloon pump usage in posterior ventricular septal rupture with right ventricle dysfunction.

Author information

1
Madras Medical Mission, Institute of Cardiovascular Disease, Chennai, Tamil Nadu, India.

Abstract

The associated mortality and morbidity of posterior ventricular septal rupture (VSR) is quite high increasing to almost 80% due to severe right ventricle dysfunction and pulmonary artery hypertension. Herein, we present a case of posterior VSR due to inferior wall myocardial infarction who underwent surgery. Premature removal of intra-aortic balloon pump (IABP) led to hemodynamic deterioration and he was salvaged with prolonged and prompt re-institution of IABP. This case also highlights the importance of IABP in right ventricle failure.

KEYWORDS:

Intra-aortic balloon pump; posterior; right ventricle; ventricular septal rupture

PMID:
31929262
DOI:
10.4103/aca.ACA_50_19
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