AI Article Synopsis
- Temporary left ventricular support with Impella 5.5 helps reduce shunting and improve tissue healing in patients with ventricular septal defects after a heart attack.
- If the heart doesn't recover enough, a permanent HeartMate 3 device can be safely implanted during the repair process.
- Performing a right ventriculotomy offers several benefits during the surgical repair of ventricular septal defects and the placement of the HeartMate 3.
Article Abstract
In patients with post-myocardial infarction ventricular septal defects, temporary left ventricular support using Impella 5.5 can decrease shunting, facilitate peri-infarct tissue remodeling, and allow for assessment of myocardial recovery prior to repair. When there is inadequate cardiac recovery, implantation of a durable left ventricular assist device such as HeartMate 3 at time of repair can be safely performed. A right ventriculotomy provides multiple advantages when performing VSD repair and concomitant HeartMate 3 placement.
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| http://dx.doi.org/10.1111/aor.14857 | DOI Listing |
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