Percutaneous bridge to heart transplantation by venoarterial ECMO and transaortic left ventricular venting

被引:56
作者
Fumagalli, R
Bombino, M
Borelli, M
Rossi, F
Colombo, V
Osculati, G
Ferrazzi, P
Pesenti, A
Gattinoni, L
机构
[1] Azienda Osped Ospedali Riuniti, Unita Operat Anestesia & Rianimaz 3, Dept Cardiac Surg, I-24100 Bergamo, Italy
[2] Univ Milan Bicocca, Osped S Gerardo Monza, Dept Anesthesia & Crit Care, Milan, Italy
[3] Osped San Gerardo, Dept Cardiol, Monza, Italy
[4] Univ Milan, Dept Anesthesia & Crit Care, Milan, Italy
关键词
extra corporeal membrane oxygenator (ECMO); cardiogenic shock; ventricular venting;
D O I
10.1177/039139880402700510
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
We report a case in which life support for cardiogenic shock was achieved by a nonpulsatile venoarterial bypass, and left ventricular decompression was obtained by a catheter placed percutaneously through the aortic valve into the left ventricle. The blood drained from the left ventricle was pumped into the femoral artery. The normalization of left heart filling pressures allowed the resolution of pulmonary edema, and the patient underwent a successful heart transplantation following 7 days of mechanical cardiocirculatory support.
引用
收藏
页码:410 / 413
页数:4
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