Secondary left heart failure occurred during VA-ECMO assistance for severe residual pulmonary hypertension after pulmonary endarterectomy: a case report.
Feng LongMing LuoZhen QinBo WangRong-Hua ZhouPublished in: BMC anesthesiology (2021)
In the face of severe residual pulmonary hypertension and sencondary left ventricular dysfunction associated with VA-ECMO, comprehensive measures described above may facilitate recovery. ECMO flow titration to maintain relatively low flow rate is very important to not only maintain systemic perfusion, but also reduce left ventricular afterload and ensure pulsatile perfusion of pulmonary artery.
Keyphrases
- pulmonary hypertension
- pulmonary artery
- left ventricular
- extracorporeal membrane oxygenation
- heart failure
- acute respiratory distress syndrome
- pulmonary arterial hypertension
- cardiac resynchronization therapy
- respiratory failure
- hypertrophic cardiomyopathy
- acute myocardial infarction
- early onset
- aortic stenosis
- left atrial
- mitral valve
- contrast enhanced
- mechanical ventilation
- drug induced
- coronary artery
- coronary artery bypass grafting
- magnetic resonance
- acute heart failure
- coronary artery disease
- percutaneous coronary intervention