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KMID : 0364020150480030210
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Korean Journal of Thoracic and Cardiovascular Surgery
2015 Volume.48 No. 3 p.210 ~ p.213
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Successful Left-Heart Decompression during Extracorporeal Membrane Oxygenation in an Adult Patient by Percutaneous Transaortic Catheter Venting
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Hong Tae-Hee
Byun Joung-Hun
Yoo Byung-Ha
Hwang Sang-Won
Kim Han-Yong
Park Jae-Hong
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Abstract
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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.
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KEYWORD
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Extracorporeal membrane oxygenation, Cardiogenic shock
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