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

Publication date: April 2018Source: Journal of the Saudi Heart Association, Volume 30, Issue 2Author(s): María Elena Arnáiz-García, María José Dalmau-Sorlí, José María González-Santos, María Elena Pérez-Losada, José Alfonso Sastre-Rincón, Jesús Hernández-Hernández, Mª Carmen Vargas-Fajardo, Víctor Sagredo-Meneses, Javier López-Rodríguez, Ana María Arnáiz-GarcíaAbstractA 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.
Source: Journal of the Saudi Heart Association - Category: Cardiology Source Type: research