Open AccessImproving hemodynamics – Prolonged intra-aortic balloon pump usage in posterior ventricular septal rupture with right ventricle dysfunction
Author(s) -
Karthik Raman,
Thapo T Desugari,
S Sowmya,
Samuel S Angula,
Kalaichelvan Uthayakumaran,
Anbarasu Mohanraj
Publication year - 2020
Publication title -
annals of cardiac anaesthesia/annals of cardiac anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.42
H-Index - 27
eISSN - 0974-5181
pISSN - 0971-9784
DOI - 10.4103/aca.aca_50_19
Subject(s) - medicine , ventricle , cardiology , hemodynamics , intra aortic balloon pump , balloon , myocardial infarction , intra aortic balloon pumping , cardiogenic shock
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.