Minimally invasive left-heart decompression during venoarterial extracorporeal membrane oxygenation: an alternative to a percutaneous approach.
Decompression of the left-heart following initiation of extracorporeal membrane oxygenation, is at times required. In the setting of a closed chest this can present a challenge. We present a minimally invasive approach to left-heart decompression in an adult-sized patient, where a percutaneous option was not feasible.
Guirgis
Mina
M
Institute of Cardiovascular Sciences, St. Boniface Research Centre, Winnipeg, Manitoba, Canada.
Kumar
Kanwal
K
Menkis
Alan H
AH
Freed
Darren H
DH
D000208:Acute Disease; D000293:Adolescent; D003131:Combined Modality Therapy / Q000379:methods; D019299:Decompression, Surgical / Q000379:methods*; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006333:Heart Failure / Q000209:etiology / Q000628:therapy*; D006353:Heart-Assist Devices; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D009205:Myocarditis / Q000150:complications* / Q000175:diagnosis; D012086:Reoperation; D018570:Risk Assessment; D012720:Severity of Illness Index; D013318:Stroke Volume / Q000502:physiology; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000209:etiology / Q000628:therapy*