Peripheral VA-ECMO left ventricular dysfunction: A combined biventricular assistance two case-report

P González-Pizarro; A Álvarez Bartolomé; J García Fernández

doi:10.1016/j.redar.2021.04.004

Peripheral VA-ECMO left ventricular dysfunction: A combined biventricular assistance two case-report

Rev Esp Anestesiol Reanim (Engl Ed). 2021 Jun 26:S0034-9356(21)00167-5. doi: 10.1016/j.redar.2021.04.004. Online ahead of print.

[Article in English, Spanish]

Authors

P González-Pizarro¹, A Álvarez Bartolomé², J García Fernández³

Affiliations

¹ Servicio de Anestesiología, Cuidados Críticos y Dolor. Hospital Universitario La Paz, Madrid, España. Electronic address: [email protected].
² Servicio de Anestesiología, Cuidados Críticos y Dolor. Hospital Universitario Puerta de Hierro, Majadahonda, Madrid, España.
³ Servicio de Anestesiología, Cuidados Críticos y Dolor. Hospital Universitario Puerta de Hierro, Majadahonda, Madrid, España; Departamento de Cirugía, Facultad de Medicina, Universidad Autónoma, Madrid, España.

PMID: 34187687
DOI: 10.1016/j.redar.2021.04.004

Abstract

We report 2patients with cardiogenic shock that developed severe left ventricular dysfunction due to a non-opening aortic valve while on peripheral VA-ECMO (Veno-Arterial Extracorporeal Membrane Oxygenator). Patients were managed combining a LV (Left Ventricle) mechanical assist device, and central VA - ECMO to support the right ventricle, thus providing full circulatory and respiratory assistance. Patients were able to bridge to cardiac transplantation. We therefore recommend such combination in patients with severe LV dysfunction while on p-ECMO (peripheral ECMO) support.

Keywords: Case report; Clinical management; Critical care; Cuidados críticos; ECMO; Gestión clínica; Informe de caso; Shock.

Publication types

Case Reports