Percutaneous left ventricular "vent" insertion for left heart decompression during extracorporeal membrane oxygenation.
OBJECTIVE
Description of a novel method of left ventricular decompression by a percutaneous technique under transthoracic echocardiographic guidance.


METHODS
Case report.


METHODS
Supraregional cardiac referral center.


METHODS
PATIENT with end-stage cardiomyopathy.


METHODS
Percutaneous insertion of a modified Mullins transseptal sheath under transthoracic echocardiographic guidance.


RESULTS
Successful decompression of the left ventricle and subsequent orthotopic heart transplantation.


CONCLUSIONS
In patients at high risk of bleeding, a percutaneous technique may be useful for left ventricular decompression.
Cheung
Michael M  H
MM
Cardiothoracic Unit, Great Ormond Street Hospital, London, UK.
Goldman
Allan P
AP
Shekerdemian
Lara S
LS
Brown
Kate L
KL
Cohen
Gordon A
GA
Redington
Andrew N
AN
D000293:Adolescent; D019299:Decompression, Surgical / Q000379:methods*; D015199:Extracorporeal Membrane Oxygenation; D006333:Heart Failure / Q000601:surgery*; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D008297:Male