PMID- 34422462 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210824 IS - 2168-8184 (Print) IS - 2168-8184 (Electronic) IS - 2168-8184 (Linking) VI - 13 IP - 7 DP - 2021 Jul TI - Post-Infarction Ventricular Septal Rupture Complicated by Cardiogenic Shock Requiring Mechanical Circulatory Support as a Bridge to Definitive Therapy During the COVID-19 Pandemic. PG - e16421 LID - 10.7759/cureus.16421 [doi] LID - e16421 AB - Ventricular septal rupture (VSR) is a devastating complication of acute myocardial infarction (MI) and is often associated with cardiogenic shock. Although considered to be very rare in the reperfusion era, recent reports have demonstrated an increased frequency of post-MI VSR cases during the COVID-19 pandemic. Despite advances in surgical repair and management strategies over the past decades, mortality rate has remained high, especially in hemodynamically unstable patients. In VSR patients with cardiogenic shock, the use of mechanical circulatory support (MCS) could be used as a bridge to surgical intervention. We report a patient with VSR complicated by cardiogenic shock secondary to late presenting MI, managed successfully with venoarterial extracorporeal membrane oxygenation (VA-ECMO) as a bridge to surgical intervention. CI - Copyright (c) 2021, Khorolsky et al. FAU - Khorolsky, Ciril AU - Khorolsky C AD - Cardiology, Albany Medical Center, Albany, USA. FAU - Pettijohn, Dyer AU - Pettijohn D AD - Internal Medicine, Albany Medical Center, Albany, USA. FAU - Yager, Neil AU - Yager N AD - Cardiology, Albany Medical College, Albany, USA. LA - eng PT - Case Reports DEP - 20210716 PL - United States TA - Cureus JT - Cureus JID - 101596737 PMC - PMC8369983 OTO - NOTNLM OT - covid-19 OT - mechanical circulatory support OT - stemi OT - va-ecmo OT - ventricular septal rupture COIS- The authors have declared that no competing interests exist. EDAT- 2021/08/24 06:00 MHDA- 2021/08/24 06:01 PMCR- 2021/07/16 CRDT- 2021/08/23 06:34 PHST- 2021/07/16 00:00 [accepted] PHST- 2021/08/23 06:34 [entrez] PHST- 2021/08/24 06:00 [pubmed] PHST- 2021/08/24 06:01 [medline] PHST- 2021/07/16 00:00 [pmc-release] AID - 10.7759/cureus.16421 [doi] PST - epublish SO - Cureus. 2021 Jul 16;13(7):e16421. doi: 10.7759/cureus.16421. eCollection 2021 Jul.