Veno-arterial mechanical support as bridge to surgery in a patient with severe aortic regurgitation: a case report.
Paolo BianchiRichard TrimlettTim JacksonToufan BahramiNicholas James LeesPublished in: Perfusion (2020)
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.
Keyphrases
- extracorporeal membrane oxygenation
- aortic valve
- case report
- acute respiratory distress syndrome
- aortic stenosis
- transcatheter aortic valve replacement
- respiratory failure
- left ventricular
- decision making
- early onset
- minimally invasive
- mitral valve
- pulmonary hypertension
- heart failure
- mechanical ventilation
- pulmonary artery
- coronary artery disease
- drug induced
- surgical site infection
- atrial fibrillation
- loop mediated isothermal amplification