title: Transition from ECMO to left ventricular support via trans-septal cannula using a single CentriMag device.
abstract: A 67-year-old male presented in cardiogenic shock and multi-system organ failure requiring emergent venous-arterial extracorporeal membrane oxygenation (ECMO). He was deemed ineligible for heart transplantation and a left ventricular assist device (LVAD) was thought to be high risk due to persistent right heart failure. To determine if he could tolerate left ventricular support alone, a trans-septal cannula was placed via the left femoral vein. Transition from veno-arterial ECMO to isolated left-sided support allowed for risk assessment for LVAD implantation and extubation, providing the patient an opportunity to participate in further clinical decision making.
authors.affiliation: Division of Cardiothoracic Surgery, Medical University of South Carolina, Charleston, SC 29425, USA. denino@musc.edu
authors.forename: Wf
authors.initials: W
authors.lastname: DeNino
authors.forename: Cj
authors.initials: C
authors.lastname: Yeager
authors.forename: Dh
authors.initials: D
authors.lastname: Steinberg
authors.forename: Jm
authors.initials: J
authors.lastname: Toole
authors.forename: Ag
authors.initials: A
authors.lastname: Shackelford
authors.forename: Jl
authors.initials: J
authors.lastname: Peura
mesh_terms: D000368:Aged; D057785:Catheters; D015199:Extracorporeal Membrane Oxygenation / Q000295:instrumentation*; D006333:Heart Failure / Q000150:complications / Q000601:surgery; D006352:Heart Ventricles / Q000601:surgery*; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D009102:Multiple Organ Failure / Q000150:complications / Q000601:surgery; D012770:Shock, Cardiogenic / Q000150:complications* / Q000601:surgery*
keywords: ECMO; LVAD; cardiogenic shock; trans-septal cannulation