Left Atrial Decompression by Minithoracotomy During Extracorporeal Life Support.

Yamamoto, Mayuko; Oshima, Yoshihiro; Matsuhisa, Hironori; Higuma, Tomonori; Iwaki, Ryuma; Matsushima, Shunsuke; Murakami, Yu · Ann Thorac Surg · 2019

case_report · Level V

Where this comes from

Abstract

Extracorporeal membrane oxygenation through cervical cannulation is an established option for pediatric patients with acute cardiopulmonary failure. However, left-sided heart decompression is sometimes mandatory in patients with severe left ventricular dysfunction. This report describes a fast and less invasive technique for placing a left atrial cannula through a left anterior minithoracotomy approach. In 4 critically ill children, this minimally invasive technique provided satisfactory left-sided heart decompression, and this report describes a representative case.

Medical subject headings