Myriad surgical and medical remedies including Extracorporeal
Membrane Oxygenation (ECMO) are being employed for acute right ventricle with varying results. Very few
cases have been documented in literature regarding the role of VA ECMO for
right ventricular failure after open heart surgery. We retrospectively analyzed
all cases eliciting VA ECMO for post-operative right heart failure over a
period of 24 months. Data was completely delineated for demography,
pre-operative patient status at length, brief venipuncture course, indications
for VA ECMO and its outcome after institution.
References
[1]
Kaul, T.K. and Fields, B.L. (2000) Postoperative Acute Refractory Right Ventricular Failure: Incidence, Pathogenesis, Management and Prognosis. Cardiovascular Surgery, 8, 1-9. https://doi.org/10.1016/S0967-2109(99)00089-7
[2]
Ventetuolo, C.E. and Klinger, J.R. (2014) Management of Acute Right Ventricular Failure in the Intensive Care Unit. Annals of the American Thoracic Society, 11, 811-822. https://doi.org/10.1513/AnnalsATS.201312-446FR
[3]
Kapur, N.K., Paruchuri, V., Jagannathan, A., Steinberg, D., Chakrabarti, A.K., Pinto, D., Aghili, N., Najjar, S., Finley, J., Orr, N.M., Tempelhof, M., Mudd, J.O., Kiernan, M.S., Pham, D.T. and DeNofrio, D. (2013) Mechanical Circulatory Support for Right Ventricular Failure. Journal of the American College of Cardiology, 1, 1-8.
https://doi.org/10.1016/j.jchf.2013.01.007
[4]
Maggio, P., Hemmila, M., Haft, J. and Bartlett, R. (2007) Extracorporeal Life Support for Massive Pulmonary Embolism. The Journal of Trauma, 62, 570-576.
https://doi.org/10.1097/TA.0b013e318031cd0c
[5]
Kolvekar, S.K., Peek, G.J., Sosnowski, A.W. and Firmin, R.K. (1997) Extracorporeal Membrane Oxygenator for Pulmonary Embolism. The Annals of Thoracic Surgery, 64, 883-884.
[6]
Deehring, R., Kiss, A.B., Garrett, A. and Hillier, A.G. (2006) Extracorporeal Membrane Oxygenation as a Bridge to Surgical Embolectomy in Acute Fulminant Pulmonary Embolism. American Journal of Emergency Medicine, 24, 879-880.
https://doi.org/10.1016/j.ajem.2006.03.009
[7]
Olsson, K.M., Simon, A., Strueber, M., Hadem, J., Wiesner, O., Gottlieb, J., Fuehner, T., Fischer, S., Warnecke, G., Kühn, C., et al. (2010) Extracorporeal Membrane Oxygenation in Nonintubated Patients as Bridge to Lung Transplantation. American Journal of Transplantation, 10, 2173-2178.
https://doi.org/10.1111/j.1600-6143.2010.03192.x
[8]
de Perrot, M., Granton, J.T., McRae, K., Cypel, M., Pierre, A., Waddell, T.K., Yasufuku, K., Hutcheon, M., Chaparro, C., Singer, L., et al. (2011) Impact of Extracorporeal Life Support on Outcome in Patients with Idiopathic Pulmonary Arterial Hypertension Awaiting Lung Transplantation. The Journal of Heart and Lung Transplantation, 30, 997-1002. https://doi.org/10.1016/j.healun.2011.03.002
[9]
Gregoric, I.D., Chandra, D., Myers, T.J., Scheinin, S.A., Loyalka, P. and Kar, B. (2008) Extracorporeal Membrane Oxygenation as a Bridge to Emergency Heart-Lung Transplantation in a Patient with Idiopathic Pulmonary Arterial Hypertension. The Journal of Heart and Lung Transplantation, 27, 466-468.
https://doi.org/10.1016/j.healun.2008.01.016
[10]
Berman, M., Tsui, S., Vuylsteke, A., Snell, A., Colah, S., Latimer, R., Hall, R., Arrowsmith, J.E., Kneeshaw, J., Klein, A.A., et al. (2008) Successful Extracorporeal Membrane Oxygenation Support after Pulmonary Thromboendarterectomy. The Annals of Thoracic Surgery, 86, 1261-1267.
https://doi.org/10.1016/j.athoracsur.2008.06.037
[11]
Mydin, M., Berman, M., Klein, A., Tsui, S., Dunning, J., Valchanov, K., Vuylsteke, A. and Jenkins, D.P. (2011) Extracorporeal Membrane Oxygenation as a Bridge to Pulmonary Endarterectomy. The Annals of Thoracic Surgery, 92, e101-e103.
https://doi.org/10.1016/j.athoracsur.2011.05.035
[12]
Lahm, T., McCaslin, C.A., Wozniak, T.C., Ghumman, W., Fadl, Y.Y., Obeidat, O.S., Schwab, K. and Meldrum, D.R. (2010) Medical and Surgical Treatment of Acute Right Ventricular Failure. Journal of the American College of Cardiology, 56, 1435-1446. https://doi.org/10.1016/j.jacc.2010.05.046
[13]
Toennes, B.E. and Garan, A.R. (2016) Percutaneous Right Ventricular Support Devices for Right Ventricular Failure. Journal of the American College of Cardiology, 1-5.
[14]
Belenkie, I., Dani, R., Smith, E.R. and Tyberg, J.V. (1989) Effects of Volume Loading during Experimental Acute Pulmonary Embolism. Circulation, 80, 178-188.
https://doi.org/10.1161/01.CIR.80.1.178
[15]
Boxt, L.M. (1999) Radiology of the Right Ventricle. Radiologic Clinics of North America, 37, 379-400. https://doi.org/10.1016/S0033-8389(05)70100-7
[16]
Kaul, S., Tei, C., Hopkins, J.M. and Shah, P.M. (1984) Assessment of Right Ventricular Function Using Two-Dimensional Echocardiography. American Heart Journal, 107, 526-531. https://doi.org/10.1016/0002-8703(84)90095-4
[17]
Lee, C.Y., Chang, S.M., Hsiao, S.H., Tseng, J.C., Lin, S.K. and Liu, C.P. (2007) Right Heart Function and Scleroderma: Insights from Tricuspid Annular Plane Systolic Excursion. Echocardiography, 24, 118-125.
https://doi.org/10.1111/j.1540-8175.2007.00365.x
[18]
Hammarstrom, E., Wranne, B., Pinto, F.J., Puryear, J. and Popp, R.L. (1991) Tricuspid Annular Motion. Journal of the American Society of Echocardiography, 4, 131-139. https://doi.org/10.1016/S0894-7317(14)80524-5
