AI Article Synopsis
- Remote extracorporeal life support (ECLS) is increasingly used to treat patients with severe heart failure, particularly in cases caused by rare conditions like giant left atrium (GLA).
- A case illustrates a patient experiencing acute heart failure who received remote ECLS after a long period of out-of-hospital resuscitation due to GLA, ultimately leading to a successful recovery and potential heart transplantation.
- Quick initiation of ECLS in patients with acute refractory heart failure can improve survival chances, especially for those with less common causes, highlighting the importance of transferring patients to specialized care.
Article Abstract
Background: Remote extracorporeal life support (ECLS) implantation and mobile ECLS are increasingly applied to enable the treatment of patients with refractory heart failure at specialized care centers. Giant left atrium (GLA) is a rare cause but may lead to acute and devastating heart failure.
Case Report: Acute heart failure that gave rise to a prolonged period of out-of-hospital cardiopulmonary resuscitation in a patient who underwent remote ECLS implantation was found to have resulted from a GLA of impressive dimensions. There having no reasonable option for immediate surgical therapy, the patient was successfully bridged to recovery with a view to subsequent heart transplantation.
Conclusions: The threshold to rapid institution of ECLS should be low in patients with acute refractory heart failure, including those with uncommon pathologies. Remote ECLS implantation and interhospital transfer on mobile ECLS increase the chances of survival in cases requiring treatment by specialized care centers.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6604584 | PMC |
| http://dx.doi.org/10.1515/iss-2018-0029 | DOI Listing |
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