Document Detail


Possibilities and limitations of a miniaturized long-term extracorporeal life support system as bridge to transplantation in a case with biventricular heart failure.
MedLine Citation:
PMID:  18829609     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Daniele Camboni; Alois Philipp; Stephan Hirt; Christoph Schmid
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-10-01
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  8     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2009-01-05     Completed Date:  2009-04-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  168-70     Citation Subset:  IM    
Affiliation:
Department of Cardiothoracic Surgery, University Hospital Regensburg, Regensburg, Germany. dcamboni@arcor.de
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MeSH Terms
Descriptor/Qualifier:
Cardiopulmonary Bypass / 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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