Extracorporeal membrane oxygenation for right ventricular failure following pericardiectomy
Author(s) -
Hasham Ahmad,
Richard Porter,
Hakeem Yusuff,
Marius Roman
Publication year - 2018
Publication title -
european journal of cardio-thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.303
H-Index - 133
eISSN - 1873-734X
pISSN - 1010-7940
DOI - 10.1093/ejcts/ezy491
Subject(s) - pericardiectomy , extracorporeal membrane oxygenation , medicine , constrictive pericarditis , right ventricular failure , cardiology , magnetic resonance imaging , cardiac magnetic resonance imaging , surgery , radiology , heart failure
We report the case of a 61-year-old gentleman who underwent pericardiectomy for constrictive pericarditis. Constrictive pericarditis was diagnosed through echocardiogram, computed tomography chest and cardiac magnetic resonance imaging. An elective decision was made for commencing venoarterial extracorporeal membrane oxygenation (ECMO) immediately postoperatively to prevent significant right ventricular failure (RVF). Postoperatively, the patient remained on ECMO for 4 days in a stable condition, showing no further signs of RVF. Venoarterial ECMO may be of use as an elective adjunct in cases at high risk of RVF following pericardiectomy.
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