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| http://dx.doi.org/10.1186/s13054-016-1205-9 | DOI Listing |
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The use of veno-veno-arterial ECMO as a successful strategy in acute mitral regurgitation secondary to papillary muscle rupture causing cardiogenic shock and profound hypoxemia: a case report.
J Surg Case Rep
June 2024
Department of Anesthesia and Critical Care, Dabbous Cardiac Center, Adan Hospital, Kuwait City, Kuwait.
Article Synopsis
- - Acute mitral regurgitation (MR) due to papillary muscle rupture is a rare but serious complication of heart attacks, occurring in only 0.05-0.26% of cases.
- - Emergency surgery is the only treatment, but it has a high risk of death (up to 39% mortality rate).
- - Using ECMO to stabilize patients before surgery can improve outcomes; in a reported case, a patient with severe MR and shock recovered fully after ECMO and emergency mitral valve replacement.
Managing Harlequin Syndrome in VA-ECMO - do not forget the right ventricle.
Perfusion
July 2022
Department of Adult Intensive Care, Royal Brompton and Harefield NHS Foundation Trust, London, UK.
Harlequin Syndrome (also known as North-South Syndrome) is a complication of veno-arterial extracorporeal membrane oxygenation (V-A ECMO) that can occur when left ventricular function starts to recover. While most commonly due to continued impaired gas exchange in the lungs, we present a case caused by right ventricular dysfunction, successfully managed by conversion of the ECMO circuit to a veno-veno-arterial (VV-A) configuration.
View Article and Find Full Text PDFVascular access in ECMO.
Indian J Thorac Cardiovasc Surg
April 2021
Division of Pediatric Emergency and Critical Care Department of Pediatrics PGIMER, Chandigarh-12, India.
In critically ill patients, deserving extracorporeal membrane oxygenation (ECMO), choosing the right pattern of cannulation such as veno-venous (VV), veno-arterial (VA), veno-veno-arterial (VVA), and central; selecting the appropriate size cannulae; and good cannulation techniques are all pre-requisites for the successful outcome of ECMO. We are describing the selection criteria for choosing appropriate size cannulae, cannulation configurations, available cannulae, and possible complications. A brief note on anticoagulation was added.
View Article and Find Full Text PDFVeno-veno-arterial extracorporeal membrane oxygenation in a patient with acute myocardial infarction complicating cardiogenic shock and acute respiratory distress syndrome.
Asian J Surg
May 2021
Division of Cardiovascular Surgery, Department of Surgery, MacKay Memorial Hospital, Taipei, Taiwan. Electronic address:
Safely repositioning dual-lumen ECMO cannulas with a transfemoral lasso snare.
Perfusion
November 2021
Division of Interventional Radiology, Baylor College of Medicine/Texas Children's Hospital, Houston, TX, USA.
Introduction: Dual-lumen cannulas were designed to provide venovenous extracorporeal membrane oxygenation (VV ECMO) with single-vessel access. Anatomic and size considerations may make appropriate placement challenging in children. Dual-lumen cannulas are repositioned in 20-69% of pediatric patients, which can be difficult without transient discontinuation of ECMO support.
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