Rotablation of Heavily Calcified Left Main Stenosis and Aortic Valve Valvuloplasty Under ECMO Cardiopulmonary Support

Autor: Steffen Schnupp, Issameddine Ajmi, Christian Mahnkopf, Mahmoud Oudeh, Muhamet Sinani, Johannes Brachmann
Rok vydání: 2020
Předmět:
left main coronary artery
0301 basic medicine
Aortic valve
Mini-Focus Issue: Interventions
medicine.medical_specialty
LMCA
left main coronary artery
medicine.medical_treatment
Hemodynamics
aortic valve stenosis
heavily calcified coronary lesions
HCCL
heavily calcified coronary lesion
030105 genetics & heredity
03 medical and health sciences
0302 clinical medicine
Internal medicine
medicine
Extracorporeal membrane oxygenation
Diseases of the circulatory (Cardiovascular) system
rotational atherectomy
PCI
percutaneous coronary intervention
business.industry
percutaneous coronary intervention
Percutaneous coronary intervention
RIM
ramus intermedius
extracorporeal membrane oxygenation
medicine.disease
IABP
intra-aortic balloon pump
LAD
left anterior descending coronary artery
Stenosis
medicine.anatomical_structure
RC666-701
Aortic valve stenosis
Circulatory system
Cardiology
TAVI
transcatheter aortic valve implantation
Case Report: Clinical Case
Cardiology and Cardiovascular Medicine
business
ECMO
extracorporeal membrane oxygenation
RCA
right coronary artery
030217 neurology & neurosurgery
Artery
Zdroj: JACC: Case Reports, Vol 2, Iss 15, Pp 2448-2454 (2020)
JACC Case Reports
ISSN: 2666-0849
DOI: 10.1016/j.jaccas.2020.10.015
Popis: High-risk coronary intervention involving the left main coronary artery represents an indication for mechanical circulatory support in hemodynamically unstable patients. Extracorporeal membrane oxygenation permits adequate hemodynamic stabilization and myocardial recovery from life-threatening pulmonary and cardiac failure. Our case report demonstrates the importance of choosing the correct method of hemodynamic support in different case scenarios. (Level of Difficulty: Advanced.)
Graphical abstract
Databáze: OpenAIRE
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