title: Atrial septostomy in cardiogenic shock related to H1N1 infection.
abstract: The circulatory assistance, mainly the extra-corporeal membrane oxygenation (ECMO) restores hemodynamics and serves to limit the myocardial work, in order to avoid left ventricular dilation, high end-diastolic pressures, increased wall stress, subendocardial ischemia and consequently worsening pulmonary congestion and edema. In patients with large myocardial damage, sometimes an additional unloading of the left ventricle is warranted. We report a case of percutaneous blade and balloon atrial septostomy (BAS) as an add-on to the circulatory assistance to unload the left heart in a cardiogenic shock related to H1N1 infection.
authors: Ziad
authors: Z
authors: Dahdouh
authors: Vincent
authors: V
authors: Roule
authors: Thérèse
authors: T
authors: Lognone
authors: Rémi
authors: R
authors: Sabatier
authors: Massimo
authors: M
authors: Massetti
authors: Gilles
authors: G
authors: Grollier
mesh_terms: D000998:Antiviral Agents / Q000627:therapeutic use; D054087:Atrial Septum / Q000601:surgery*; D004562:Electrocardiography; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D006801:Humans; D053118:Influenza A Virus, H1N1 Subtype; D007251:Influenza, Human / Q000150:complications* / Q000188:drug therapy; D008875:Middle Aged; D053139:Oseltamivir / Q000627:therapeutic use; D011654:Pulmonary Edema / Q000209:etiology / Q000601:surgery*; D012770:Shock, Cardiogenic / Q000601:surgery* / Q000821:virology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000998:Antiviral Agents; D053139:Oseltamivir