{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T16:16:22Z","timestamp":1764260182053,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","issue":"9","license":[{"start":{"date-parts":[[2021,9,7]],"date-time":"2021-09-07T00:00:00Z","timestamp":1630972800000},"content-version":"unspecified","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,7,21]]},"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:p>We report a case of a ventricular septal rupture (VSR) which occurred during coronary artery bypass grafting (CABG) operation. The procedure took place 5\u2009days after ST-elevation myocardial infarction of the inferior wall. The VSR repair was not performed at the time of the CABG operation. The intention was to wait until scar formation occurs to facilitate the repair. The patient was supported with venoarterial extracorporeal membranous oxygenation (VA-ECMO) and additional intra-aortic balloon pump (IABP) on intensive care unit. Ten days after CABG the patient underwent a successful VSR repair and 5\u2009days later was weaned from VA-ECMO. He was discharged from hospital 6\u2009weeks after the initial CABG. This case report underlines the importance of VA-ECMO and a multidisciplinary approach with frequent examination of haemodynamic state in the treatment of patients with mechanical complications of myocardial infarction who are not suitable for immediate repair.<\/jats:p>","DOI":"10.1136\/bcr-2021-243824","type":"journal-article","created":{"date-parts":[[2021,9,7]],"date-time":"2021-09-07T11:55:53Z","timestamp":1631015753000},"page":"e243824","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Intraoperative postinfarct ventricular septal rupture during coronary bypass grafting"],"prefix":"10.1136","volume":"14","author":[{"given":"Cornelis L","family":"Kok","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, Department of Intensive Care, Onze Lieve Vrouwe Gasthuis, Amsterdam, Noord-Holland, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anja","family":"Balzereit","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Department of Intensive Care, Onze Lieve Vrouwe Gasthuis, Amsterdam, Noord-Holland, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wim","family":"Stooker","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Department of Intensive Care, Onze Lieve Vrouwe Gasthuis, Amsterdam, Noord-Holland, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomasz P","family":"Plonek","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Department of Intensive Care, Onze Lieve Vrouwe Gasthuis, Amsterdam, Noord-Holland, The Netherlands"},{"name":"Department of Cardiothoracic Surgery, Wroclaw Medical University, Wroclaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,9,7]]},"reference":[{"key":"2025082709104685000_14.9.e243824.1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehu248"},{"key":"2025082709104685000_14.9.e243824.2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.101.25.2981"},{"key":"2025082709104685000_14.9.e243824.3","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1093\/eurheartj\/ehx393","article-title":"2017 ESC guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: the task force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of cardiology (ESC)","volume":"39","author":"Ibanez","year":"2018","journal-title":"Eur Heart J"},{"key":"2025082709104685000_14.9.e243824.4","first-page":"10","article-title":"Ventricular septal rupture complicating acute myocardial infarction in the modern era with mechanical circulatory support: a single center observational study","volume":"6","author":"Liebelt","year":"2016","journal-title":"Am J Cardiovasc Dis"},{"key":"2025082709104685000_14.9.e243824.5","doi-asserted-by":"crossref","first-page":"E827","DOI":"10.21037\/jtd.2017.08.164","article-title":"Extracorporeal membrane oxygenation system as a bridge to reparative surgery in ventricular septal defect complicating acute inferoposterior myocardial infarction","volume":"9","author":"Rozado","year":"2017","journal-title":"J Thorac Dis"},{"key":"2025082709104685000_14.9.e243824.6","first-page":"799","article-title":"The role of extracorporeal membrane oxygenation in an acute basal ventricular septal rupture","volume":"57","author":"Matos","year":"2020","journal-title":"Eur J Cardiothorac Surg"},{"key":"2025082709104685000_14.9.e243824.7","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.12070"},{"key":"2025082709104685000_14.9.e243824.8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8191.2008.00710.x"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-243824","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:10:52Z","timestamp":1756311052000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-243824"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9]]},"references-count":8,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2021,9,7]]},"published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1136\/bcr-2021-243824"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-243824","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,9]]}}}