scholarly journals EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) AS BRIDGE-TO-SURGERY FOR INFECTIVE ENDOCARDITIS

2014 ◽  
Vol 63 (12) ◽  
pp. A670
Author(s):  
Adam MacArthur Noyes ◽  
Bhavadharini Ramu ◽  
Matthew Parker ◽  
David Underhill ◽  
Jason Gluck
Keyword(s):  
Infective Endocarditis ◽  
Extracorporeal Membrane Oxygenation ◽  
Bridge To Surgery ◽  
Membrane Oxygenation

scholarly journals Extracorporeal Membrane Oxygenation as a Bridge to Surgery for Infective Endocarditis Complicated by Aorto-Atrial Fistula and Cardiopulmonary Collapse

2015 ◽  
Vol 42 (5) ◽  
pp. 471-473 ◽  
Author(s):  
Adam M. Noyes ◽  
Bhavadharini Ramu ◽  
Matthew W. Parker ◽  
David Underhill ◽  
Jason A. Gluck
Keyword(s):  
Infective Endocarditis ◽  
Extracorporeal Membrane Oxygenation ◽  
Timing Of Surgery ◽  
Definitive Treatment ◽  
Bridge To Surgery ◽  
Active Infective Endocarditis ◽  
Membrane Oxygenation ◽  
Hemodynamic Compromise ◽  
First Case

The timing of surgery for active infective endocarditis is challenging when patients exhibit mechanical dysfunction and hemodynamic compromise. Extracorporeal membrane oxygenation has been described in treating sepsis but not, insofar as we know, in treating the acute mechanical sequelae that arise from infective endocarditis. We report perhaps the first case that shows the usefulness of extracorporeal membrane oxygenation as a bridge to definitive treatment in a 35-year-old man who had infective endocarditis followed by aorto-atrial fistula and cardiopulmonary collapse.

scholarly journals Efficacy of extracorporeal membrane oxygenation before surgery of a post-infarction ventricular septal rupture in cardiogenic shock

2020 ◽  
Vol 31 (5) ◽  
pp. 727-728
Author(s):  
Hidenobu Takaki ◽  
Kenichi Hashizume ◽  
Tadashi Matsuoka ◽  
Koki Ikebata
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Extracorporeal Membrane Oxygenation ◽  
Cardiogenic Shock ◽  
Septal Defect ◽  
Bridge To Surgery ◽  
Ventricular Septal Rupture ◽  
High Mortality Risk ◽  
Membrane Oxygenation

Abstract A 73-year-old man with an acute myocardial infarction experienced severe cardiogenic shock due to an inferior ventricular septal rupture with a massive left-to-right shunt. Emergency surgery was considered a too high mortality risk. The patient was implanted with an extracorporeal membrane oxygenation system as a bridge to surgery. On the seventh day after admission, the ventricular septal defect was successfully repaired. Our case study demonstrates that extracorporeal membrane oxygenation could be an option in cases of ventricular septal rupture as a bridge for stabilizing patients.

scholarly journals Postcardiotomy extracorporeal membrane oxygenation in a patient with Austrian syndrome

2020 ◽  
Vol 13 (2) ◽  
pp. e233564
Author(s):  
Joy C Edlin ◽  
Amr Metwalli ◽  
Simon J Finney ◽  
Shirish G Ambekar
Keyword(s):  
Infective Endocarditis ◽  
Extracorporeal Membrane Oxygenation ◽  
Mechanical Circulatory Support ◽  
Clinical Syndrome ◽  
Circulatory Support ◽  
Redo Surgery ◽  
Independent Mobility ◽  
Initial Operation ◽  
Membrane Oxygenation ◽  
Aortic Root Abscess

A 43-year-old man with Austrian syndrome, the triad of infective endocarditis (IE), pneumonia and meningitis caused by Streptococcus pneumoniae, underwent emergency aortic and mitral valve replacement and closure of an aortic root abscess. Postoperatively, he required mechanical circulatory support with veno-arterial extracorporeal membrane oxygenation and an intra-aortic balloon pump. Several days after surgery, new mitral and aortic paraprosthetic leaks (PPLs) developed. These were managed conservatively, initially, but eventually required percutaneous closure 6 weeks after the initial operation. This has enabled the patient to recover to independent mobility, 20 weeks after the operation. This case illustrates a rare clinical syndrome and the devastating impact of IE. Moreover, it illustrates the successful application of extracorporeal membrane oxygenation in postcardiotomy cardiac failure and the successful treatment of PPL in a patient unfit for redo surgery.

Veno-arterial mechanical support as bridge to surgery in a patient with severe aortic regurgitation: a case report

Perfusion ◽  
2020 ◽  
Vol 35 (7) ◽  
pp. 697-699
Author(s):  
Paolo Bianchi ◽  
Richard Trimlett ◽  
Tim Jackson ◽  
Toufan Bahrami ◽  
Nicholas James Lees
Keyword(s):  
Decision Making ◽  
Case Report ◽  
Extracorporeal Membrane Oxygenation ◽  
Pulmonary Oedema ◽  
Aortic Regurgitation ◽  
Mechanical Valve ◽  
Bridge To Surgery ◽  
Mechanical Support ◽  
Severe Aortic Regurgitation ◽  
Membrane Oxygenation

In this case report, we describe the successful application of veno-arterial extracorporeal membrane oxygenation support in a young patient with severe aortic regurgitation caused by a blocked mechanical valve. In this situation, extracorporeal membrane oxygenation mechanical support was used as a bridge to the prompt replacement of the diseased valve. Aortic regurgitation is commonly recognized as a contraindication to extracorporeal membrane oxygenation support because of the risk of ventricular distension, pulmonary oedema and further organ failure. However, in certain cases and with a rapid decision making, extracorporeal membrane oxygenation can be used as a bridge to treatment and recovery.

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