Transaortic Left Ventricular Unloading in VA-ECMO: The Transsubclavian Route

Publication date: October 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 4Author(s): Nicolas d’Ostrevy, Adama Sawadogo, Jean Porterie, Vedat Eljezi, Etienne Geoffroy, Lucie Cassagnes, Lionel CamilleriLeft ventricular unloading during extracorporeal life support aims to minimize potential side effects of increased left ventricular afterload. A transaortic catheter vent implanted through a subclavian approach was used in 2 patients. Patient 1 was a 48-year-old man with a recent history of ST-elevation myocardial infarction who developed refractory cardiogenic shock due to severe biventricular dysfunction. Patient 2 was a 56-year-old man admitted for severe flu. The unloading procedure was successful in both patients, with bridge to heart transplantation in the first case and bridge to recovery in the other.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research