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


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

Correspondence Address:
Karthik Raman
Madras Medical Mission, No 4-A, JJ Nagar, Mogappair, Chennai - 600 037, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_50_19

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Year : 2020  |  Volume : 23  |  Issue : 1  |  Page : 106-108

 

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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.






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

Correspondence Address:
Karthik Raman
Madras Medical Mission, No 4-A, JJ Nagar, Mogappair, Chennai - 600 037, Tamil Nadu
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_50_19

Rights and Permissions

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.






[FULL TEXT] [PDF]*


        
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