PMID- 37840948 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231020 IS - 2297-055X (Print) IS - 2297-055X (Electronic) IS - 2297-055X (Linking) VI - 10 DP - 2023 TI - Case report-CARMAT: the first experience with the Aeson bioprosthetic total artificial heart as a bridge to transplantation in a case of post-infarction ventricular septal rupture. PG - 1211365 LID - 10.3389/fcvm.2023.1211365 [doi] LID - 1211365 AB - BACKGROUND: Post-infarction ventricular septal defects remain one of the most feared complications after myocardial infarction with high mortality rates. In special cases, surgical or interventional treatment strategies are technically not feasible and do not always lead to a good outcome. CASE PRESENTATION: A 58-year-old male patient in cardiogenic shock with a very large ventricular septal (VSD) defect (4.9 cm x 5 cm) due to myocardial infarction was presented in our department. Acute stabilization was achieved using peripheral venoarterial extracorporeal membrane oxygenation (VA-ECMO) support. Neither surgical nor interventional therapy was considered as a sufficient option due to the unsuitable anatomy of the VSD and the patient was listed for heart transplantation. After 2 weeks on ECMO, bleeding and infectious complications occurred. Due to organ shortage, urgent implantation of the bioprosthetic total artificial heart (TAH) Aeson device (CARMAT) remained the only useful strategy to achieve a mid- or long-term bridge to transplantation. After successful implantation and good recovery with the Aeson device, the patient was transplanted 4 weeks after implantation. CONCLUSION: Post-infarction ventricular septal defects are highly challenging and are commonly associated with a poor prognosis. The implantation of the new Aeson TAH device is a promising therapeutic option, allowing a safe and long-term bridging to heart transplantation. CI - (c) 2023 Huenges, Panholzer, Cremer and Haneya. FAU - Huenges, Katharina AU - Huenges K AD - Department of Cardiovascular Surgery, UKSH, Kiel, Germany. FAU - Panholzer, Bernd AU - Panholzer B AD - Department of Cardiovascular Surgery, UKSH, Kiel, Germany. FAU - Cremer, Jochen AU - Cremer J AD - Department of Cardiovascular Surgery, UKSH, Kiel, Germany. FAU - Haneya, Assad AU - Haneya A AD - Department of Cardiovascular Surgery, UKSH, Kiel, Germany. LA - eng PT - Case Reports DEP - 20230929 PL - Switzerland TA - Front Cardiovasc Med JT - Frontiers in cardiovascular medicine JID - 101653388 PMC - PMC10570445 OTO - NOTNLM OT - VSD OT - heart failure OT - heart transplantation OT - myocardial infarction OT - total artificial heart COIS- AH is a consultant for CARMAT. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/10/16 06:48 MHDA- 2023/10/16 06:49 PMCR- 2023/01/01 CRDT- 2023/10/16 04:25 PHST- 2023/04/24 00:00 [received] PHST- 2023/08/24 00:00 [accepted] PHST- 2023/10/16 06:49 [medline] PHST- 2023/10/16 06:48 [pubmed] PHST- 2023/10/16 04:25 [entrez] PHST- 2023/01/01 00:00 [pmc-release] AID - 10.3389/fcvm.2023.1211365 [doi] PST - epublish SO - Front Cardiovasc Med. 2023 Sep 29;10:1211365. doi: 10.3389/fcvm.2023.1211365. eCollection 2023.