Issue |
J Extra Corpor Technol
Volume 46, Number 2, June 2014
|
|
---|---|---|
Page(s) | 166 - 169 | |
DOI | https://doi.org/10.1051/ject/201446166 | |
Published online | 15 June 2014 |
Case Reports
Interhospital Air Transport of a Blind Patient on Extracorporeal Life Support with Consecutive and Successful Left Ventricular Assist Device Implantation
* Department of Cardiovascular Perfusion, MediClin Heart Center Coswig, Coswig, Germany
† Department of Cardiothoracic Surgery, MediClin Heart Center Coswig, Coswig, Germany
‡ Department of Cardiovascular Perfusion, University of Leipzig–Heart Center, Leipzig, Germany
§ Department of Cardiothoracic Surgery, University of Leipzig–Heart Center, Leipzig, Germany
Address correspondence to: Jan Schaarschmidt, MCT, ECCP, Department for Cardiovascular Perfusion, MediClin Heart Center Coswig, Lerchenfeld 1, Coswig, Saxony-Anhalt D-06869, Germany. E-mail: jan.schaarschmidt@mediclin.de
Received:
17
October
2013
Accepted:
4
March
2014
The use of extracorporeal life support systems (ECLS) in patients with postcardiotomy low cardiac output syndrome (LCO) as a bridge to recovery and bridge to implantation of ventricular assist device (VAD) is common nowadays. A 59-year-old patient with acute myocardial infarction received a percutaneous transluminal angioplasty and stenting of the circumflex artery. During catheterization of the left coronary artery (LAD), the patient showed ventricular fibrillation and required defibrillation and cardiopulmonary resuscitation. After implantation of an intra-aortic balloon pump, the patient immediately was transmitted to the operating room. He received emergency coronary artery bypass grafting in a beating heart technique using pump-assisted minimal extracorporeal circulation circuit (MECC). Two bypass grafts were performed to the LAD and the right posterior descending artery. Despite initial successful weaning off cardiopulmonary bypass with high-dose inotropic support, the patient presented postcardiotomy LCO and an ECLS was implanted. The primary setup of the heparin-coated MECC system was modified and used postoperatively. As a result of the absence of an in-house VAD program, the patient was switched to a transportable ECLS the next day and was transferred by helicopter to the nearest VAD center where the patient received a successful insertion of a left VAD 3 days later.
Key words: minimized extracorporeal circulation / extracorporeal life support / interhospital air transport / left ventricular assist device
© 2014 AMSECT
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