Transaortic Left Ventricular Unloading in VA-ECMO: The Transsubclavian Route.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 30878460.
- Also identified by DOI 10.1016/j.athoracsur.2019.01.080.
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Abstract
Left ventricular unloading during extracorporeal life support aims to minimize potential side effects of increased left ventricular afterload. A transaortic catheter vent implanted through a subclavian approach was used in 2 patients. Patient 1 was a 48-year-old man with a recent history of ST-elevation myocardial infarction who developed refractory cardiogenic shock due to severe biventricular dysfunction. Patient 2 was a 56-year-old man admitted for severe flu. The unloading procedure was successful in both patients, with bridge to heart transplantation in the first case and bridge to recovery in the other.
Medical subject headings
- Extracorporeal Membrane Oxygenation
- ST Elevation Myocardial Infarction
- Shock, Cardiogenic