Browse > Article
http://dx.doi.org/10.5090/kjtcs.2015.48.3.210

Successful Left-Heart Decompression during Extracorporeal Membrane Oxygenation in an Adult Patient by Percutaneous Transaortic Catheter Venting  

Hong, Tae Hee (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Byun, Joung Hun (Department of Thoracic and Cardiovascular Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine)
Yoo, Byung Ha (Department of Thoracic and Cardiovascular Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine)
Hwang, Sang Won (Department of Thoracic and Cardiovascular Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine)
Kim, Han Yong (Department of Thoracic and Cardiovascular Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine)
Park, Jae Hong (Department of Thoracic and Cardiovascular Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine)
Publication Information
Journal of Chest Surgery / v.48, no.3, 2015 , pp. 210-213 More about this Journal
Abstract
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.
Keywords
Extracorporeal membrane oxygenation; Cardiogenic shock;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Kurihara H, Kitamura M, Shibuya M, Tsuda Y, Endo M, Koyangi H. Effect of transaortic catheter venting on left ventricular function during venoarterial bypass. ASAIO J 1997;43:M838-41.   DOI
2 Chocron S, Perrotti A, Durst C, Aupecle B. Left ventricular venting through the right subclavian artery access during peripheral extracorporeal life support. Interact Cardiovasc Thorac Surg 2013;17:187-9.   DOI
3 Fumagalli R, Bombino M, Borelli M, et al. Percutaneous bridge to heart transplantation by venoarterial ECMO and transaortic left ventricular venting. Int J Artif Organs 2004;27:410-3.   DOI
4 Kang MH, Hahn JY, Gwon HC, et al. Percutaneous transseptal left atrial drainage for decompression of the left heart in an adult patient during percutaneous cardiopulmonary support. Korean Circ J 2011;41:402-4.   DOI
5 Koeckert MS, Jorde UP, Naka Y, Moses JW, Takayama H. Impella LP 2.5 for left ventricular unloading during venoarterial extracorporeal membrane oxygenation support. J Card Surg 2011;26:666-8.   DOI