| Transseptal Catheter Decompression of the Left Ventricle During Extracorporeal Membrane Oxygenation. | |
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MedLine Citation:
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PMID: 21984264 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) can result in left-ventricular distension and the development of pulmonary edema. We present the case of a 13-year-old girl who presented with cardiogenic shock. VA-ECMO was initiated, but after 6 days, severe left-ventricular distension resulted in decreased VA-ECMO flows. With guidance by bedside transesophageal echocardiography, a percutaneous atrial transseptal cannula was placed and connected to the venous circuit, thus decompressing the left ventricle. The patient improved, was weaned from VA-ECMO 5 days later, and was discharged from the hospital. Bedside transseptal catheter insertion is an effective method of left-ventricular decompression. |
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Authors:
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Michael F Swartz; Frank Smith; Craig J Byrum; George M Alfieris |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-10-9 |
Journal Detail:
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Title: Pediatric cardiology Volume: - ISSN: 1432-1971 ISO Abbreviation: - Publication Date: 2011 Oct |
Date Detail:
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Created Date: 2011-10-10 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8003849 Medline TA: Pediatr Cardiol Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Department of Surgery, Strong Memorial Hospital, University of Rochester, Rochester, NY, 14582, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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