Successful extracorporeal membrane oxygenation implantation in a patient with isolated postcardiotomy right ventricle failure: A case report

Walenty Kolcow; Luther Keita; Daniel Steter; Suhaib Ahmet; Tony Abse; Mark Da Costa

Successful extracorporeal membrane oxygenation implantation in a patient with isolated postcardiotomy right ventricle failure: A case report

Walenty Kolcow
, Luther Keita
, Daniel Steter
, Suhaib Ahmet
, Tony Abse
, Mark Da Costa

Research output: Contribution to a Journal (Peer & Non Peer) › Article › peer-review

Abstract

We present a case of a 63-year-old male who developed isolated right ventricle (RV) failure after routine aortic valve replacement (AVR). One hour after the operation, extracorporeal membrane oxygenation (ECMO) circuit was implanted as a temporary right ventricle assist device (RVAD). A few hours after that when ECMO support was established, inotropic support was significantly reduced and metabolic acidosis was corrected. After 42 hours of support, ECMO was successfully removed. The patient was discharged home after 34 days of hospital stay. Pre-discharge transthoracic echocardiography (TTE) revealed good RV and left ventricle (LV) function and normally functioning tissue AVR. Eight months later the patient underwent a successful hip and knee replacement. Three years after his cardiac surgery, the patient remains in New York Heart Association heart failure classification (NYHA) class I.

Original language	English
Pages (from-to)	466-468
Number of pages	3
Journal	Kardiochirurgia i Torakochirurgia Polska
Volume	8
Issue number	4
Publication status	Published - 2011
Externally published	Yes

Keywords

Extracorporeal membrane oxygenation
Right ventricle assist device
Right ventricular dysfunction

Cite this

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abstract = "We present a case of a 63-year-old male who developed isolated right ventricle (RV) failure after routine aortic valve replacement (AVR). One hour after the operation, extracorporeal membrane oxygenation (ECMO) circuit was implanted as a temporary right ventricle assist device (RVAD). A few hours after that when ECMO support was established, inotropic support was significantly reduced and metabolic acidosis was corrected. After 42 hours of support, ECMO was successfully removed. The patient was discharged home after 34 days of hospital stay. Pre-discharge transthoracic echocardiography (TTE) revealed good RV and left ventricle (LV) function and normally functioning tissue AVR. Eight months later the patient underwent a successful hip and knee replacement. Three years after his cardiac surgery, the patient remains in New York Heart Association heart failure classification (NYHA) class I.",

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T1 - Successful extracorporeal membrane oxygenation implantation in a patient with isolated postcardiotomy right ventricle failure

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AU - Keita, Luther

AU - Steter, Daniel

AU - Ahmet, Suhaib

AU - Abse, Tony

AU - Da Costa, Mark

PY - 2011

Y1 - 2011

N2 - We present a case of a 63-year-old male who developed isolated right ventricle (RV) failure after routine aortic valve replacement (AVR). One hour after the operation, extracorporeal membrane oxygenation (ECMO) circuit was implanted as a temporary right ventricle assist device (RVAD). A few hours after that when ECMO support was established, inotropic support was significantly reduced and metabolic acidosis was corrected. After 42 hours of support, ECMO was successfully removed. The patient was discharged home after 34 days of hospital stay. Pre-discharge transthoracic echocardiography (TTE) revealed good RV and left ventricle (LV) function and normally functioning tissue AVR. Eight months later the patient underwent a successful hip and knee replacement. Three years after his cardiac surgery, the patient remains in New York Heart Association heart failure classification (NYHA) class I.

AB - We present a case of a 63-year-old male who developed isolated right ventricle (RV) failure after routine aortic valve replacement (AVR). One hour after the operation, extracorporeal membrane oxygenation (ECMO) circuit was implanted as a temporary right ventricle assist device (RVAD). A few hours after that when ECMO support was established, inotropic support was significantly reduced and metabolic acidosis was corrected. After 42 hours of support, ECMO was successfully removed. The patient was discharged home after 34 days of hospital stay. Pre-discharge transthoracic echocardiography (TTE) revealed good RV and left ventricle (LV) function and normally functioning tissue AVR. Eight months later the patient underwent a successful hip and knee replacement. Three years after his cardiac surgery, the patient remains in New York Heart Association heart failure classification (NYHA) class I.

KW - Extracorporeal membrane oxygenation

KW - Right ventricle assist device

KW - Right ventricular dysfunction

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M3 - Article

SN - 1731-5530

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EP - 468

JO - Kardiochirurgia i Torakochirurgia Polska

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ER -

Successful extracorporeal membrane oxygenation implantation in a patient with isolated postcardiotomy right ventricle failure: A case report

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