Korean J Thorac Cardiovasc Surg.  2015 Jun;48(3):210-213. 10.5090/kjtcs.2015.48.3.210.

Successful Left-Heart Decompression during Extracorporeal Membrane Oxygenation in an Adult Patient by Percutaneous Transaortic Catheter Venting

• Hong TH
• Byun JH
• Yoo BH
• Hwang SW
• Kim HY
• Park JH

• KMID: 2382259
• DOI: http://doi.org/10.5090/kjtcs.2015.48.3.210

Abstract

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.

Keyword

Extracorporeal membrane oxygenation; Cardiogenic shock

MeSH Terms

Adult*
Catheters*
Decompression*
Echocardiography
Extracorporeal Membrane Oxygenation*
Heart Ventricles
Humans
Male
Myocardial Infarction
Shock, Cardiogenic
Stents