TY - JOUR
T1 - Veno-Arterial ECMO in the Setting of Post-Infarct Ventricular Septal Defect
T2 - A Bridge to Surgical Repair
AU - McLaughlin, Aden
AU - McGiffin, David
AU - Winearls, James
AU - Tesar, Peter
AU - Cole, Christopher
AU - Vallely, Michael
AU - Clarke, Andrew
AU - Fraser, John
PY - 2016/11/1
Y1 - 2016/11/1
N2 - Extracorporeal membrane oxygenation (ECMO) is a complex rescue therapy utilised to provide circulatory and/or respiratory support to critically ill patients who have failed maximal conventional therapy. The use of ECMO in adult cardiac surgery is not routine, occurring in a minority of critically ill patients, typically postoperatively. Presented here are three cases of post-infarct ventricular septal defect with cardiogenic shock managed preoperatively with ECMO support as a bridge to definitive surgical closure. We present a review of ECMO in the adult cardiac surgical population and highlight the potential role of preoperative ECMO for cardiogenic shock in the setting of post-infarct ventricular septal defect (PI VSD) as a bridge to definitive closure.
AB - Extracorporeal membrane oxygenation (ECMO) is a complex rescue therapy utilised to provide circulatory and/or respiratory support to critically ill patients who have failed maximal conventional therapy. The use of ECMO in adult cardiac surgery is not routine, occurring in a minority of critically ill patients, typically postoperatively. Presented here are three cases of post-infarct ventricular septal defect with cardiogenic shock managed preoperatively with ECMO support as a bridge to definitive surgical closure. We present a review of ECMO in the adult cardiac surgical population and highlight the potential role of preoperative ECMO for cardiogenic shock in the setting of post-infarct ventricular septal defect (PI VSD) as a bridge to definitive closure.
KW - ECMO
KW - Post-infarct ventricular septal defect
UR - http://www.scopus.com/inward/record.url?scp=84978396756&partnerID=8YFLogxK
U2 - 10.1016/j.hlc.2016.02.024
DO - 10.1016/j.hlc.2016.02.024
M3 - Review Article
C2 - 27374861
AN - SCOPUS:84978396756
SN - 1443-9506
VL - 25
SP - 1063
EP - 1066
JO - Heart Lung and Circulation
JF - Heart Lung and Circulation
IS - 11
ER -