title: Successful use of pre and post-operative ECMO for pulmonary endarterectomy, mitral valve replacement and myomectomy in a patient with chronic thromboembolic pulmonary hypertension and hypertrophic cardiomyopathy.
abstract: As a salvage strategy, extracorporeal membrane oxygenation (ECMO) permits the recovery of end-organ perfusion, whilst allowing the surgeon time for patient reassessment and surgical planning. We report upon the first known case in which VA ECMO was instituted as peri-operative supportive therapy for a young patient, in-extremis, with surgically correctable Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Hypertrophic Cardiomyopathy (HOCM).
authors.affiliation: Department of Cardiac Surgery, the Prince Charles Hospital, Brisbane, Qld, Australia. Electronic address: Livia_Williams@health.qld.gov.au.
authors.forename: Livia
authors.initials: L
authors.lastname: Williams
authors.affiliation: Queensland Centre for Lung Transplantation and Vascular Disease, The Prince Charles Hospital, Brisbane, Qld, Australia.
authors.forename: Fiona
authors.initials: F
authors.lastname: Kermeen
authors.affiliation: Adult Intensive Care Unit, The Prince Charles Hospital, Brisbane, Qld, Australia.
authors.forename: Daniel
authors.initials: D
authors.lastname: Mullany
authors.affiliation: Department of Cardiac Surgery, the Prince Charles Hospital, Brisbane, Qld, Australia.
authors.forename: Bruce
authors.initials: B
authors.lastname: Thomson
mesh_terms: D000328:Adult; D002312:Cardiomyopathy, Hypertrophic / Q000150:complications / Q000601:surgery*; D002908:Chronic Disease; D004691:Endarterectomy; D015199:Extracorporeal Membrane Oxygenation; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications / Q000601:surgery*; D008297:Male; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000601:surgery*; D010210:Papillary Muscles / Q000601:surgery*; D019990:Perioperative Care; D011651:Pulmonary Artery / Q000601:surgery; D051437:Renal Insufficiency / Q000150:complications; D013923:Thromboembolism / Q000150:complications
keywords: Cardiogenic shock; Extracorporeal membrane oxygenation; Hypertrophic obstructive cardiomyopathy; Pulmonary embolism/endarterectomy; Transplantation-heart/lung