PMID- 34296475 OWN - NLM STAT- MEDLINE DCOM- 20210913 LR - 20210913 IS - 1540-8191 (Electronic) IS - 0886-0440 (Linking) VI - 36 IP - 10 DP - 2021 Oct TI - Implantation of durable left ventricular assist device in patient with postmyocardial infarction ventricular septal defect. PG - 3944-3947 LID - 10.1111/jocs.15839 [doi] AB - Ventricular septal defect (VSD) is a severe complication of myocardial infarction (MI) with a high mortality rate. We report a case of a large post-MI VSD treated with percutaneous venoarterial extracorporeal membrane oxygenation (VA-ECMO) to restore hemodynamic stability and to avoid surgery in the acute setting. VSD closure with endoventricular patch and implantation of biventricular assist device (BiVAD) was arranged sixteen days after MI. Because of no signs of myocardial recovery, implantation of durable left ventricular assist device (LVAD) as a bridge to transplant was provided, leaving right ventricular assist device (RVAD) to right ventricle recovery. RVAD was explanted 18 days after durable LVAD placement and the patient was discharged home two months after MI. The use of durable LVAD is a unique solution that can be applied in selected patients with MI-VSD and heart failure. CI - (c) 2021 Wiley Periodicals LLC. FAU - Hlavacek, Daniel AU - Hlavacek D AUID- ORCID: 0000-0001-8453-1666 AD - Department of Cardiovascular Surgery, Institute for Clinical and Experimental Medicine (IKEM), Prague, Czech Republic. AD - Department of Physiology, Third Faculty of Medicine, Charles University, Prague, Czech Republic. FAU - Pokorny, Martin AU - Pokorny M AD - Department of Cardiovascular Surgery, Institute for Clinical and Experimental Medicine (IKEM), Prague, Czech Republic. FAU - Ivak, Peter AU - Ivak P AUID- ORCID: 0000-0002-1803-604X AD - Department of Cardiovascular Surgery, Institute for Clinical and Experimental Medicine (IKEM), Prague, Czech Republic. AD - Department of Physiology, Third Faculty of Medicine, Charles University, Prague, Czech Republic. FAU - Netuka, Ivan AU - Netuka I AUID- ORCID: 0000-0002-1567-7036 AD - Department of Cardiovascular Surgery, Institute for Clinical and Experimental Medicine (IKEM), Prague, Czech Republic. AD - Second Department of Surgery, Department of Cardiovascular Surgery, First Faculty of Medicine, Charles University, Prague, Czech Republic. FAU - Szarszoi, Ondrej AU - Szarszoi O AD - Department of Cardiovascular Surgery, Institute for Clinical and Experimental Medicine (IKEM), Prague, Czech Republic. AD - Department of Pathophysiology, Second Faculty of Medicine, Charles University, Prague, Czech Republic. LA - eng PT - Case Reports DEP - 20210722 PL - United States TA - J Card Surg JT - Journal of cardiac surgery JID - 8908809 SB - IM MH - *Extracorporeal Membrane Oxygenation MH - *Heart Failure/therapy MH - *Heart Septal Defects, Ventricular/surgery MH - *Heart-Assist Devices MH - Humans MH - *Myocardial Infarction/complications MH - Treatment Outcome OTO - NOTNLM OT - coronary artery disease OT - mechanical circulatory support OT - ventricular septal defect EDAT- 2021/07/24 06:00 MHDA- 2021/09/14 06:00 CRDT- 2021/07/23 07:11 PHST- 2021/06/30 00:00 [revised] PHST- 2021/05/29 00:00 [received] PHST- 2021/07/10 00:00 [accepted] PHST- 2021/07/24 06:00 [pubmed] PHST- 2021/09/14 06:00 [medline] PHST- 2021/07/23 07:11 [entrez] AID - 10.1111/jocs.15839 [doi] PST - ppublish SO - J Card Surg. 2021 Oct;36(10):3944-3947. doi: 10.1111/jocs.15839. Epub 2021 Jul 22.