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KMID : 0368120110410070402
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Korean Circulation Journal
2011 Volume.41 No. 7 p.402 ~ p.404
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Percutaneous Transseptal Left Atrial Drainage for Decompression of the Left Heart in an Adult Patient During Percutaneous Cardiopulmonary Support
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Kang Min-Ho
Hahn Joo-Yong
Gwon Hyeon-Cheol
Song Young-Bin
Choi Jin-Oh
Choi Jin-Ho
Choi Seung-Hyuk
Lee Sang-Hoon
Jeon Eun-Suk
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Abstract
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A 28-year-old male with hemophagocytic lymphohistiocytosis presented with left ventricular dysfunction and cardiac arrest. Percutaneous cardiopulmonary support (PCPS) was initiated, but left heart distension developed with associated aggravation of pulmonary edema. Percutaneous transseptal left atrial sheath (28-Fr) drainage was incorporated into the PCPS venous circuit under fluoroscopic guidance to enable left heart decompression 1 days after PCPS initiation. The patient’s pulmonary edema improved markedly, and distention of his left heart diminished. He was successfully weaned from PCPS 5 days later. Percutaneous transseptal left atrial drainage with large venous cannulae is feasible and effective in decompressing the left heart in adult patients during PCPS.
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KEYWORD
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Heart arrest, Assisted circulation, Heart catheterization
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