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

Karthik Raman, Thapo T Desugari, S Sowmya and 3 more

Annals of Cardiac Anaesthesia · 2020

doi:10.4103/aca.aca_50_19 (opens in a new tab)

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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.

Abstract licence: CC BY-NC-SA

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