title: Percutaneous bi-atrial extracorporeal membrane oxygenation for acute circulatory support in advanced heart failure.
abstract: Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) may improve survival after cardiac arrest by providing cardiopulmonary support. However, VA-ECMO increases left ventricular (LV) afterload, which can promote progressive LV distension and often requires a secondary approach to reduce LV pressure and volume in patients with left heart failure. We report a case of biventricular unloading via biatrial cannulation in the presence of LV thrombus using a TandemHeart percutaneous trans-septal cannula for VA-ECMO in an adult patient with refractory ventricular fibrillation.
authors.affiliation: The Cardiovascular Center, Tufts Medical Center, Boston, Massachusetts.
authors.forename: Marwan
authors.initials: M
authors.lastname: Jumean
authors.forename: Duc Thinh
authors.initials: DT
authors.lastname: Pham
authors.forename: Navin K
authors.initials: NK
authors.lastname: Kapur
mesh_terms: D000328:Adult; D018450:Disease Progression; D017548:Echocardiography, Transesophageal / Q000379:methods; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D017809:Fatal Outcome; D006333:Heart Failure / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000628:therapy*; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D012720:Severity of Illness Index; D014693:Ventricular Fibrillation / Q000175:diagnosis / Q000628:therapy*
keywords: ECMO/IABP/Tandem/Impella; cardiogenic; heart failure; mechanical circulatory support; shock; ventricular assist device