Temporary Microaxial Support in a Patient With Multiple Post-Myocardial Infarction Mechanical Complications: Bridge to Transplantation

Jean-Luc A Maigrot; Jonathan Labin; Daniel Ragheb; Amanda Vest; Andrew Higgins; Michael Z Y Tong; Nicholas G Smedira; Edward G Soltesz; Aaron J Weiss; Anthony L Zaki

doi:10.1016/j.jaccas.2024.102550

Temporary Microaxial Support in a Patient With Multiple Post-Myocardial Infarction Mechanical Complications: Bridge to Transplantation

JACC Case Rep. 2024 Sep 18;29(18):102550. doi: 10.1016/j.jaccas.2024.102550.

Affiliations

¹ Department of Thoracic and Cardiovascular Surgery, Kaufman Center for Heart Failure Treatment and Recovery, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
² Department of Cardiovascular Medicine, Kaufman Center for Heart Failure Treatment and Recovery, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.

Abstract

A 66-year-old man with post-myocardial infarction ventricular septal rupture, apical aneurysm, and pseudoaneurysm presenting in cardiogenic shock received a surgically placed temporary microaxial transvalvular left ventricular assist device. This stabilized hemodynamics and end-organ function, and he subsequently underwent successful heart transplantation. A temporary microaxial transvalvular left ventricular assist device can effectively bridge patients with select mechanical complications of myocardial infarction beyond ventricular septal rupture.

Keywords: post-myocardial infarction ventricular septal rupture; temporary mechanical circulatory support.

Publication types

Case Reports