Acute heart failure due to giant left atrium: remote ECLS implantation for interhospital transfer and bridging to decision
| Autor: | Christian-Friedrich Vahl, Angela Kornberger, M. Oberhoffer, Hazem El Beyrouti, Andres Beiras-Fernandez |
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| Rok vydání: | 2018 |
| Předmět: |
mobile ECLS
Heart transplantation endocrine system medicine.medical_specialty RD1-811 business.industry medicine.medical_treatment heart failure Case Report remote ECLS implantation medicine.disease Giant left atrium extracorporeal life support Extracorporeal Surgery giant left atrium Heart failure Life support Medicine In patient cardiovascular diseases Cardiopulmonary resuscitation business Refractory heart failure |
| Zdroj: | Innovative Surgical Sciences Innovative Surgical Science, Vol 3, Iss 4, Pp 285-288 (2018) |
| ISSN: | 2364-7485 |
| DOI: | 10.1515/iss-2018-0029 |
| Popis: | BackgroundRemote extracorporeal life support (ECLS) implantation and mobile ECLS are increasingly applied to enable the treatment of patients with refractory heart failure at specialized care centers. Giant left atrium (GLA) is a rare cause but may lead to acute and devastating heart failure.Case reportAcute heart failure that gave rise to a prolonged period of out-of-hospital cardiopulmonary resuscitation in a patient who underwent remote ECLS implantation was found to have resulted from a GLA of impressive dimensions. There having no reasonable option for immediate surgical therapy, the patient was successfully bridged to recovery with a view to subsequent heart transplantation.ConclusionsThe threshold to rapid institution of ECLS should be low in patients with acute refractory heart failure, including those with uncommon pathologies. Remote ECLS implantation and interhospital transfer on mobile ECLS increase the chances of survival in cases requiring treatment by specialized care centers. |
| Databáze: | OpenAIRE |
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