Mechanical Unloading by Impella CP in Postinfarction Posterior Ventricular Septal Defect, Bridging to Repair: First Case Series

Objectives: Postinfarction ventricular septal defect (VSD) is a rare but serious event. Mortality approaches 50% with surgical repair and 100% in patients treated medically. Until now, the Stabilization was attempted with medical therapy, intraaortic balloon pump counterpulsation (IABP) and Extracorporeal machine oxygenators (ECMO). The aim of this study was to examine the safety and effectiveness of Impella-CP as a targeted circulatory support device for ventricular unloading as a bridge to surgical therapy in patients with postinfarction VSD.