Transesophageal Echocardiographic Diagnosis of Cardiac Rupture During Extracorporeal Membrane Oxygenation–Assisted Percutaneous Coronary Intervention
| Autor: | James C. Weaver, Bruce Cartwright, Boris Waldman, Anthony C Keech, David D'Silva, Michael Byrom |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Percutaneous business.industry medicine.medical_treatment Cardiac Rupture Percutaneous coronary intervention 030204 cardiovascular system & hematology Revascularization medicine.disease Pericardial effusion Intracardiac injection 03 medical and health sciences surgical procedures operative 0302 clinical medicine Anesthesiology and Pain Medicine 030202 anesthesiology Internal medicine medicine Extracorporeal membrane oxygenation Cardiology Myocardial infarction Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Cardiothoracic and Vascular Anesthesia. 35:910-913 |
| ISSN: | 1053-0770 |
| DOI: | 10.1053/j.jvca.2020.06.041 |
| Popis: | Left ventricular free wall rupture is a feared complication of myocardial infarction and revascularization therapies. Transesophageal echocardiography (TEE) has an established role in cardiac surgery and a growing role in percutaneous intracardiac procedures, complex PCI and Extra-Corporeal Membrane Oxygenation (ECMO). This report concerns a 91-year old patient who underwent complex Extra-Corporeal Membrane Oxygenation (ECMO) assisted PCI. Despite successful angiography, the procedure was complicated by left ventricular free wall rupture. Transesophageal echocardiography (TEE) allowed for rapid diagnosis of the complication and associated pericardial effusion and facilitated surgical management of the effusion as well as the ultimate decision to palliate. The report highlights the ever-present risk of cardiac rupture post revascularization as well as the value of TEE in the rapid diagnosis of this complication and as a guide to anesthetic and procedural management in complex percutaneous cases |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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