| Possibilities and limitations of a miniaturized long-term extracorporeal life support system as bridge to transplantation in a case with biventricular heart failure. | |
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MedLine Citation:
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PMID: 18829609 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In cardiac surgery extracorporeal life support systems (ECLS), also known as extracorporeal membrane oxygenation systems (ECMO), are often placed in case of postcardiotomy shock, until the patient's myocardial pump function recovers. Patients under ECLS are typically intubated and immobilized. We present a 57-year-old man suffering from severe ischemic cardiomyopathy in biventricular failure and intractable cardiogenic shock, who was supported with a miniaturized cardiopulmonary bypass system (MECC((R))) installed as venoarterial ECLS for 37 days. The patient was fully awake, spontaneously breathing, and practicing exercise in bed during life support for four weeks. He then required intubation for pneumonia, but later underwent successful transplantation. In conclusion, this case demonstrates that ECLS with miniaturized heart-lung machines offer the possibility of prolonged and safe support, ideal as a bridge to decision in patients with cardiogenic shock. On the other side, this report also indicates that ECLS is not recommended as a bridge to transplantation on a routine basis. |
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Authors:
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Daniele Camboni; Alois Philipp; Stephan Hirt; Christoph Schmid |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2008-10-01 |
Journal Detail:
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Title: Interactive cardiovascular and thoracic surgery Volume: 8 ISSN: 1569-9285 ISO Abbreviation: Interact Cardiovasc Thorac Surg Publication Date: 2009 Jan |
Date Detail:
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Created Date: 2009-01-05 Completed Date: 2009-04-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101158399 Medline TA: Interact Cardiovasc Thorac Surg Country: England |
Other Details:
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Languages: eng Pagination: 168-70 Citation Subset: IM |
Affiliation:
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Department of Cardiothoracic Surgery, University Hospital Regensburg, Regensburg, Germany. dcamboni@arcor.de |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cardiopulmonary Bypass
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instrumentation* Equipment Design Extracorporeal Membrane Oxygenation / instrumentation* Heart Failure / complications, physiopathology, surgery* Heart Transplantation* Heart-Lung Machine* Humans Male Middle Aged Miniaturization* Myocardial Contraction Shock, Cardiogenic / etiology, surgery Time Factors Treatment Outcome Ventricular Function, Left |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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