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 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

The First Case of Multisystem Inflammatory Syndrome in Children Successfully Treated with Combined Therapies Including Extracorporeal Membrane Oxygenation and Plasmapheresis

2021 ◽  
Author(s):  
Capan Konca ◽  
Ayse B. Anil ◽  
Onur Isik ◽  
Emine P. Kulluoglu ◽  
Doga Luleyap ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Severe Disease ◽  
Anticoagulation Therapy ◽  
Definitive Treatment ◽  
Membrane Oxygenation ◽  
First Case ◽  
Threatening Condition ◽  
Child Patient ◽  
Life Threatening ◽  
Inflammatory Syndrome

AbstractMultisystem inflammatory syndrome in children (MIS-C) is a severe disease that can lead to death. There is no definitive treatment for MIS-C yet. It has been reported that intravenous immunoglobulin, intravenous methylprednisolone, fluid supplements, antibiotics, inotropics, extracorporeal membrane oxygenation (ECMO), plasmapheresis, biological therapy, and anticoagulation therapy can be used for treatment. In this article, we presented an 8-year-old girl child patient who survived due to timely administered ECMO and combined therapies including plasmapheresis without any sequela despite her life-threatening condition due to MIS-C.

scholarly journals Successful extracorporeal membrane oxygenation resuscitation of patient with cardiogenic shock induced by phaeochromocytoma crisis mimicking hyperthyroidism: A case report

2021 ◽  
Vol 16 (1) ◽  
pp. 746-751
Author(s):  
Tao Wang ◽  
Qiancheng Xu ◽  
Xiaogan Jiang
Keyword(s):  
Case Report ◽  
Extracorporeal Membrane Oxygenation ◽  
Cardiogenic Shock ◽  
Tumour Size ◽  
Acute Onset ◽  
Left Ventricular ◽  
Vanillylmandelic Acid ◽  
Membrane Oxygenation ◽  
First Case ◽  
Va Ecmo

Abstract A 29-year-old woman presented to the emergency department with the acute onset of palpitations, shortness of breath, and haemoptysis. She reported having an abortion (56 days of pregnancy) 1 week before admission because of hyperthyroidism diagnosis during pregnancy. The first diagnoses considered were cardiomyopathy associated with hyperthyroidism, acute left ventricular failure, and hyperthyroidism crisis. The young woman’s cardiocirculatory system collapsed within several hours. Hence, venoarterial extracorporeal membrane oxygenation (VA ECMO) was performed for this patient. Over the next 3 days after ECMO was established, repeat transthoracic echocardiography showed gradual improvements in biventricular function, and later the patient recovered almost completely. The patient’s blood pressure increased to 230/130 mm Hg when the ECMO catheter was removed, and then the diagnosis of phaeochromocytoma was suspected. Computed tomography showed a left suprarenal tumour. The tumour size was 5.8 cm × 5.7 cm with central necrosis. The vanillylmandelic acid concentration was 63.15 mg/24 h. Post-operation, pathology confirmed phaeochromocytoma. To our knowledge, this is the first case report of a patient with cardiogenic shock induced by phaeochromocytoma crisis mimicking hyperthyroidism which was successfully resuscitated by VA ECMO.

Successful Use of Extracorporeal Membrane Oxygenation Therapy in Patients With 80% Full Thickness Burns

2020 ◽  
Author(s):  
Jack Rasmussen ◽  
Mete Erdogan ◽  
Osama Loubani ◽  
Robert S Green
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Prone Position ◽  
Full Thickness ◽  
Burn Care ◽  
Membrane Oxygenation ◽  
Severe Burns ◽  
First Case ◽  
Major Burn ◽  
Ecmo Therapy ◽  
Burn Patient

Abstract Despite advances in burn care, mortality in adult patients with extensive burn injuries remains a concern, particularly in those who develop concurrent acute respiratory distress syndrome (ARDS). In cases of ARDS refractory to conventional treatments, venovenous extracorporeal membrane oxygenation (ECMO) may represent a viable salvage therapy, even in the major burn population. We present the case of a 38-year-old man with full thickness burns to over 80% of his body, who developed severe ARDS 4 days postburn. After failing to respond to deep sedation, paralysis, and proning, ECMO therapy was initiated to maintain oxygenation and ventilation. Over the next 14 days, while the patient was treated with ECMO, he successfully underwent three major operations to debride and allograft approximately 65% of his body surface area, including one in the prone position. ECMO therapy was discontinued on postburn day 18, and the patient had his wounds reconstructed and survived his injuries. To the best of our knowledge, this is the first report of a burn patient with such severe burns requiring surgical intervention that has been treated with ECMO and survived, and the first case of a burn patient on ECMO having surgery in the prone position. They conclude this case serves as a “proof of concept” that ECMO is a potential treatment for appropriately selected major burn patients with ARDS who fail to respond to other therapies.

scholarly journals Near-fatal negative pressure pulmonary oedema successfully treated with venovenous extracorporeal membrane oxygenation performed in the hybrid emergency room

2020 ◽  
Vol 13 (9) ◽  
pp. e234651 ◽  
Author(s):  
Kazuki Matsumura ◽  
Yukitoshi Toyoda ◽  
Shokei Matsumoto ◽  
Tomohiro Funabiki
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Emergency Room ◽  
Pulmonary Oedema ◽  
Negative Pressure ◽  
Ct Scanner ◽  
Resuscitation Room ◽  
Membrane Oxygenation ◽  
First Case ◽  
Negative Pressure Pulmonary Oedema ◽  
Venovenous Extracorporeal Membrane Oxygenation

We report a rare case of negative pressure pulmonary oedema (NPPE), a life-threatening complication of tracheal intubation. A 41-year-old obese man was admitted to a previous hospital for neck surgery. After extubation, he developed respiratory distress followed by haemoptysis and desaturation. The patient was reintubated and brought to our hospital where we introduced venovenous extracorporeal membrane oxygenation (ECMO) to prevent cardiac arrest, which is an unusual clinical course for NPPE. He returned to his routine without any sequelae. This is the first case report of NPPE successfully resolved with venovenous ECMO in the hybrid emergency room (hybrid ER), which is a resuscitation room equipped with interventional radiology features and a sliding CT scanner. Since the hybrid ER serves as a single move for patients where all necessary procedures are performed, it has the potential to lower the incidence of cannulation complications, beyond the delay in ECMO initiation.

The role of simulation to support donation after circulatory death with extracorporeal membrane oxygenation (DCD-ECMO)

Perfusion ◽  
2017 ◽  
Vol 32 (8) ◽  
pp. 624-630 ◽  
Author(s):  
Mateusz Puślecki ◽  
Marcin Ligowski ◽  
Marek Dąbrowski ◽  
Maciej Sip ◽  
Sebastian Stefaniak ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Time Perspective ◽  
Life Support ◽  
Real Life ◽  
Organizational Capabilities ◽  
The Real ◽  
Membrane Oxygenation ◽  
First Case ◽  
Kidney Transplantations ◽  
Circulatory Death

Maintaining the viability of organs from donors after circulatory death (DCD) for transplantation is a complicated procedure, from a time perspective in the absence of appropriate organizational capabilities, that makes such transplantation cases difficult and not yet widespread in Poland. We present the procedural preparation for Poland’s first case of organ (kidney) transplantation from a DCD donor in which perfusion was supported by extracorporeal membrane oxygenation (ECMO). Because this organizational model is complex and expensive, we used advanced high-fidelity medical simulation to prepare for the real-life implementation. The real time scenario included all crucial steps: prehospital identification, cardiopulmonary resuscitation (CPR), advanced life support (ALS); perfusion therapy (CPR-ECMO or DCD-ECMO); inclusion and exclusion criteria matching, suitability for automated chest compression; DCD confirmation and donor authorization, ECMO organs recovery; kidney harvesting. The success of our first simulated DCD-ECMO procedure in Poland is reassuring. Soon after this simulation, Maastricht category II DCD procedures were performed, involving real patients and resulting in two successful double kidney transplantations. During debriefing, it was found that the previous simulation-based training provided the experience to build a successful procedural chain, to eliminate errors at the stage of identification, notification, transportation, donor qualifications and ECMO organ perfusion to create DCD-ECMO algorithm architecture.

scholarly journals Update on Weaning from Veno-Arterial Extracorporeal Membrane Oxygenation

2020 ◽  
Vol 9 (4) ◽  
pp. 992 ◽  
Author(s):  
Enzo Lüsebrink ◽  
Christopher Stremmel ◽  
Konstantin Stark ◽  
Dominik Joskowiak ◽  
Thomas Czermak ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Left Ventricular ◽  
Cardiac Biomarkers ◽  
Ventricular Assist Devices ◽  
Ventricular Assist ◽  
Membrane Oxygenation ◽  
Hemodynamic Compromise ◽  
Successful Weaning ◽  
Bridge To Decision ◽  
Va Ecmo

Venoarterial extracorporeal membrane oxygenation (VA-ECMO) provides temporary cardiac and respiratory support and has emerged as an established salvage intervention for patients with hemodynamic compromise or shock. It is thereby used as a bridge to recovery, bridge to permanent ventricular assist devices, bridge to transplantation, or bridge to decision. However, weaning from VA-ECMO differs between centers, and information about standardized weaning protocols are rare. Given the high mortality of patients undergoing VA-ECMO treatment, it is all the more important to answer the many questions still remaining unresolved in this field Standardized algorithms are recommended to optimize the weaning process and determine whether the VA-ECMO can be safely removed. Successful weaning as a multifactorial process requires sufficient recovery of myocardial and end-organ function. The patient should be considered hemodynamically stable, although left ventricular function often remains impaired during and after weaning. Echocardiographic and invasive hemodynamic monitoring seem to be indispensable when evaluating biventricular recovery and in determining whether the VA-ECMO can be weaned successfully or not, whereas cardiac biomarkers may not be useful in stratifying those who will recover. This review summarizes the strategies of weaning of VA-ECMO and discusses predictors of successful and poor weaning outcome.

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.

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