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Veno-arterial extracorporeal membrane oxygenation as a bridge for enabling surgery in a patient under cardiogenic shock due to acute mitral prosthesis dysfunction

Arnáiz-García, María Elena (Cardiac Surgery Department, University Hospital of Salamanca, Salamanca, Spain ) ; Dalmau-Sorlí, María José (Cardiac Surgery Department, University Hospital of Salamanca, Salamanca, Spain ) ; González-Santos, José (Cardiac Surgery Department, University Hospital of Salamanca, Salamanca, Spain ) ; María (Intensive Medicine Department, University Hospital of Salamanca, Salamanca, Spain ) ; Pérez-Losada, María Elena (Anesthesiology Department, University Hospital of Salamanca, Salamanca, Spain ) ; Sastre-Rincón, José (Cardiology Department, University Hospital of Salamanca, Salamanca, Spain ) ; Alfonso (Anesthesiology Department, University Hospital of Salamanca, Salamanca, Spain ) ; Hernández-Hernández, Jesús (Intensive Medicine Department, University Hospital of Salamanca, Salamanca, Spain ) ; Vargas-Fajardo, Mª Carmen (Cardiac Surgery Department, University Hospital of Salamanca, Salamanca, Spain ) ; Sagredo-Meneses, Víctor (Internal Medicine Department, University Hospital Marqués de Valdecilla, Santander, Spain ) ; López-Rodríguez, Javier ; Arnáiz-García, Ana María ;
  • 초록  

    Abstract A 52-year-old male patient, who underwent mitral replacement with a mechanical prosthesis as a child, sustained a cardiac arrest which was successfully resuscitated. Further investigation showed prosthesis malfunction with significant regurgitation in the context of multi-organ failure. In such a life-threatening condition, veno-arterial extracorporeal membrane oxygenation was considered as a rescue procedure to achieve optimisation of clinical status to allow definitive surgical treatment. An unusual complete fracture of the prosthesis was subsequently identified as the cause of acute dysfunction.


  • 주제어

    VA-ECMO .   Mitral .   Prosthesis .   Dysfunction .   Cardiogenic shock.  

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