Veno-arterial mechanical support as bridge to surgery in a patient with severe aortic regurgitation: a case report. (October 2020)

• Record Type: Journal Article
• Authors: Bianchi, Paolo; Trimlett, Richard; Jackson, Tim; Bahrami, Toufan; Lees, Nicholas James
• Is Part Of: Perfusion. Volume 35:Number 7(2020)
• Page Start: 697
• Page End: 699
• Publication Date: 2020-10
• Subjects: ECMO -- cardiac mechanical support -- aortic regurgitation -- veno-arterial; Perfusion (Physiology) -- Periodicals; Blood -- Circulation, Artificial -- Periodicals; Heart -- Surgery -- Periodicals; Extracorporeal Circulation -- Periodicals; Perfusion -- Periodicals; Circulation extracorporelle -- Périodiques; Perfusion -- Périodiques; 617.41
• DOI: 10.1177/0267659119896893
• Languages: English
• ISSNs: 0267-6591

Abstract

In this case report, we describe the successful application of veno-arterial extracorporeal membrane oxygenation support in a young patient with severe aortic regurgitation caused by a blocked mechanical valve. In this situation, extracorporeal membrane oxygenation mechanical support was used as a bridge to the prompt replacement of the diseased valve. Aortic regurgitation is commonly recognized as a contraindication to extracorporeal membrane oxygenation support because of the risk of ventricular distension, pulmonary oedema and further organ failure. However, in certain cases and with a rapid decision making, extracorporeal membrane oxygenation can be used as a bridge to treatment and recovery.