Successful extracorporeal membrane oxygenation weaning after cardiac resynchronization therapy device implantation in a patient with end-stage heart failure
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Successful extracorporeal membrane oxygenation weaning after cardiac resynchronization therapy device implantation in a patient with end-stage heart failure. / Pecha, Simon; Yildirim, Yalin; Reichenspurner, Hermann; Deuse, Tobias.
in: INTERACT CARDIOV TH, Jahrgang 15, Nr. 5, 11.2012, S. 922-923.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Successful extracorporeal membrane oxygenation weaning after cardiac resynchronization therapy device implantation in a patient with end-stage heart failure
AU - Pecha, Simon
AU - Yildirim, Yalin
AU - Reichenspurner, Hermann
AU - Deuse, Tobias
PY - 2012/11
Y1 - 2012/11
N2 - We present the case of a 46-year old male with end-stage heart failure due to ethyltoxic cardiomyopathy. The patient did not meet the criteria for heart transplantation and declined left ventricular assist device implantation. We decided to conduct cardiac resynchronization therapy defibrillator (CRT-D) implantation. Under general anaesthesia for CRT-D implantation, cardiac function worsened. Due to deteriorating haemodynamics, CRT-D implantation was aborted and emergent veno-arterial extracorporeal membrane oxygenation (ECMO) implantation was performed. Subsequent weaning from ECMO was not possible. We decided to proceed with CRT-D implantation while still on ECMO support. With biventricular stimulation, cardiac function improved promptly and the patient could be weaned from ECMO the same day.
AB - We present the case of a 46-year old male with end-stage heart failure due to ethyltoxic cardiomyopathy. The patient did not meet the criteria for heart transplantation and declined left ventricular assist device implantation. We decided to conduct cardiac resynchronization therapy defibrillator (CRT-D) implantation. Under general anaesthesia for CRT-D implantation, cardiac function worsened. Due to deteriorating haemodynamics, CRT-D implantation was aborted and emergent veno-arterial extracorporeal membrane oxygenation (ECMO) implantation was performed. Subsequent weaning from ECMO was not possible. We decided to proceed with CRT-D implantation while still on ECMO support. With biventricular stimulation, cardiac function improved promptly and the patient could be weaned from ECMO the same day.
KW - Cardiac Resynchronization Therapy
KW - Cardiac Resynchronization Therapy Devices
KW - Cardiomyopathy, Alcoholic/complications
KW - Defibrillators, Implantable
KW - Extracorporeal Membrane Oxygenation
KW - Heart Failure/diagnosis
KW - Hemodynamics
KW - Humans
KW - Male
KW - Middle Aged
KW - Recovery of Function
KW - Treatment Outcome
KW - Ventricular Function
U2 - 10.1093/icvts/ivs338
DO - 10.1093/icvts/ivs338
M3 - SCORING: Journal article
C2 - 22851758
VL - 15
SP - 922
EP - 923
JO - INTERACT CARDIOV TH
JF - INTERACT CARDIOV TH
SN - 1569-9293
IS - 5
ER -