Minimally invasive management of central ECMO after ascending aortic surgery.
Roberto LorussoElham BidarEhsan NatourSamuel HeutsPublished in: Journal of cardiac surgery (2019)
A small percentage of ascending aortic surgical procedures require temporary mechanical circulatory support, of which veno-arterial extracorporeal membrane oxygenation (V-A ECMO) is the most established technique. We present a surgical technique for minimally invasive central V-A ECMO management, avoiding resternotomy or ventricular compression, while maintaining antegrade blood flow and permitting sternal closure following ascending aortic surgery.
Keyphrases
- extracorporeal membrane oxygenation
- minimally invasive
- aortic dissection
- pulmonary artery
- acute respiratory distress syndrome
- blood flow
- aortic valve
- left ventricular
- coronary artery
- respiratory failure
- pulmonary hypertension
- robot assisted
- heart failure
- mechanical ventilation
- coronary artery bypass
- acute coronary syndrome
- surgical site infection