Successful Left-Heart Decompression during Extracorporeal Membrane Oxygenation in an Adult Patient by Percutaneous Transaortic Catheter Venting
| Autor: | Tae Hee Hong, Joung Hun Byun, Byung Ha Yoo, Sang Won Hwang, Han Yong Kim, Jae Hong Park |
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| Jazyk: | English<br />Korean |
| Rok vydání: | 2015 |
| Předmět: | |
| Zdroj: | Korean Journal of Thoracic and Cardiovascular Surgery, Vol 48, Iss 3, Pp 210-213 (2015) |
| Druh dokumentu: | article |
| ISSN: | 2233-601X 2093-6516 |
| DOI: | 10.5090/kjtcs.2015.48.3.210 |
| Popis: | Venoarterial extracorporeal membrane oxygenation (VA ECMO) is widely used in patients with cardiogenic shock. Insufficient decompression of the left ventricle (LV) is considered a major factor preventing adequate LV recovery. A 40-year-old male was diagnosed with acute myocardial infarction, and revascularization was performed using percutaneous stenting. However, cardiogenic shock occurred, and VA ECMO was initiated. Severe LV failure developed, and percutaneous transaortic catheter venting (TACV) was incorporated into the venous circuit of VA ECMO under transthoracic echocardiography guidance. The patient was successfully weaned from VA ECMO. Percutaneous TACV is an effective, relatively noninvasive, and rapid method of LV decompression in patients undergoing VA ECMO. |
| Databáze: | Directory of Open Access Journals |
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