PMID- 21984264
OWN - NLM
STAT- MEDLINE
DCOM- 20120924
LR  - 20220408
IS  - 1432-1971 (Electronic)
IS  - 0172-0643 (Linking)
VI  - 33
IP  - 1
DP  - 2012 Jan
TI  - Transseptal catheter decompression of the left ventricle during extracorporeal 
      membrane oxygenation.
PG  - 185-7
LID - 10.1007/s00246-011-0113-7 [doi]
AB  - Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) can result in 
      left-ventricular distension and the development of pulmonary edema. We present 
      the case of a 13-year-old girl who presented with cardiogenic shock. VA-ECMO was 
      initiated, but after 6 days, severe left-ventricular distension resulted in 
      decreased VA-ECMO flows. With guidance by bedside transesophageal 
      echocardiography, a percutaneous atrial transseptal cannula was placed and 
      connected to the venous circuit, thus decompressing the left ventricle. The 
      patient improved, was weaned from VA-ECMO 5 days later, and was discharged from 
      the hospital. Bedside transseptal catheter insertion is an effective method of 
      left-ventricular decompression.
FAU - Swartz, Michael F
AU  - Swartz MF
AD  - Department of Surgery, Strong Memorial Hospital, University of Rochester, 
      Rochester, NY 14582, USA.
FAU - Smith, Frank
AU  - Smith F
FAU - Byrum, Craig J
AU  - Byrum CJ
FAU - Alfieris, George M
AU  - Alfieris GM
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20111009
PL  - United States
TA  - Pediatr Cardiol
JT  - Pediatric cardiology
JID - 8003849
SB  - IM
MH  - Adolescent
MH  - Cardiac Catheterization
MH  - Decompression, Surgical/*methods
MH  - Echocardiography, Transesophageal
MH  - *Extracorporeal Membrane Oxygenation
MH  - Female
MH  - Heart Ventricles/physiopathology/*surgery
MH  - Humans
MH  - Shock, Cardiogenic/physiopathology/*surgery
MH  - Ventricular Dysfunction, Left/*surgery
EDAT- 2011/10/11 06:00
MHDA- 2012/09/25 06:00
CRDT- 2011/10/11 06:00
PHST- 2011/05/05 00:00 [received]
PHST- 2011/08/25 00:00 [accepted]
PHST- 2011/10/11 06:00 [entrez]
PHST- 2011/10/11 06:00 [pubmed]
PHST- 2012/09/25 06:00 [medline]
AID - 10.1007/s00246-011-0113-7 [doi]
PST - ppublish
SO  - Pediatr Cardiol. 2012 Jan;33(1):185-7. doi: 10.1007/s00246-011-0113-7. Epub 2011 
      Oct 9.