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

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.
Competing Interests: Dr Soltesz is the Donna and Ken Lewis Endowed Chair in Cardiothoracic Surgery; and has received honoraria from Abbott, Abiomed, Atricure, and Dilon. Dr Smedira is the Polly and W. Neal Rossborough Endowed Chair in Heart Transplantation Research. Dr Tong has received honoraria from Abbott and Abiomed. Dr Higgins has received lecture honoraria from Abbott. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.
(© 2024 The Authors.)