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Minimally invasive left-heart decompression during venoarterial extracorporeal membrane oxygenation: an alternative to a percutaneous approach

Interact Cardiovasc Thorac Surg. 2010 May;10(5):672-4. doi: 10.1510/icvts.2009.228346. Epub 2010 Feb 5.

Abstract

Decompression of the left-heart following initiation of extracorporeal membrane oxygenation, is at times required. In the setting of a closed chest this can present a challenge. We present a minimally invasive approach to left-heart decompression in an adult-sized patient, where a percutaneous option was not feasible.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Adolescent
  • Combined Modality Therapy / methods
  • Decompression, Surgical / methods*
  • Extracorporeal Membrane Oxygenation / methods*
  • Female
  • Follow-Up Studies
  • Heart Failure / etiology
  • Heart Failure / therapy*
  • Heart-Assist Devices
  • Humans
  • Minimally Invasive Surgical Procedures / methods
  • Myocarditis / complications*
  • Myocarditis / diagnosis
  • Reoperation
  • Risk Assessment
  • Severity of Illness Index
  • Stroke Volume / physiology
  • Treatment Outcome
  • Ventricular Dysfunction, Left / etiology
  • Ventricular Dysfunction, Left / therapy*