Decompression of Left Ventricle During Venoarterial Extracorporeal Membrane Oxygenation Support as a Step to Transplant
Tarih
2016Yazar
Gultekin, Bahadir
Ersoy, Ozgur
Akkaya, Ilknur
Kayipmaz, Cagri
Pirat, Aras
Sezgin, Atilla
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Objectives: Left ventricular distention can be recognized during the use of venoarterial extracorporeal membrane oxygenation as a key complication. Left ventricular decompression may decrease pulmonary pressure, minimize ventricular distention, and allow myocardial recovery.
Materials and Methods: We applied venoarterial extracorporeal membrane oxygenation to 4 patients while on a wait list for cardiac transplant.
Results: Two patients with severe heart failure developed high end-diastolic pressures leading to left ventricular distention. We used atrial venting methods to decrease the pressure.
Conclusions: Here, we discussed the strategies to manage ventricular distention by conservative, interventional, and surgical means.