title: Extracorporeal membrane oxygenation with hemoconcentration: in a hypervolemic patient with critical aortic stenosis.
abstract: Herein, we describe the case of a 60-year-old man with severe nonischemic cardiomyopathy and hypervolemia. By means of venoarterial extracorporeal membrane oxygenation at the bedside, along with hemoconcentration, the patient was resuscitated from severe cardiogenic shock and normal blood volume was restored. Within 24 hours, he was able to undergo a high-risk aortic valve replacement for severe aortic stenosis, with a successful outcome. To our knowledge, this is the first reported case in which hemoconcentration with extracorporeal membrane oxygenation has been used to support a patient with severe hypervolemia.
authors.affiliation: Department of Cardiovascular Surgery, Texas Heart Institute, St Luke's Episcopal Hospital, Houston, Texas 77030, USA.
authors.forename: Igor D
authors.initials: ID
authors.lastname: Gregoric
authors.forename: Biswajit
authors.initials: B
authors.lastname: Kar
authors.forename: Gunjan
authors.initials: G
authors.lastname: Gholkar
authors.forename: Sanjay
authors.initials: S
authors.lastname: Patel
authors.forename: Terry
authors.initials: T
authors.lastname: Crane
authors.forename: Sriram
authors.initials: S
authors.lastname: Nathan
authors.forename: Pranav
authors.initials: P
authors.lastname: Loyalka
mesh_terms: D001024:Aortic Valve Stenosis / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D001810:Blood Volume; D015199:Extracorporeal Membrane Oxygenation; D005440:Fluid Therapy / Q000009:adverse effects*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D007022:Hypotension / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D012720:Severity of Illness Index; D012770:Shock, Cardiogenic / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D016896:Treatment Outcome