PMID- 31508845 OWN - NLM STAT- MEDLINE DCOM- 20200626 LR - 20200626 IS - 1540-8191 (Electronic) IS - 0886-0440 (Linking) VI - 34 IP - 12 DP - 2019 Dec TI - Percutaneous venoarterial extracorporeal membrane oxygenation as a bridge to double valve implantation in acute biventricular heart failure with profound cardiogenic shock. PG - 1664-1666 LID - 10.1111/jocs.14255 [doi] AB - A 71-year-old woman was admitted with acute hypoxic and hypercapnic respiratory failure and cardiogenic shock, secondary to acute on chronic biventricular systolic and diastolic congestive heart failure and severe aortic and mitral valve stenosis. She further presented with pulmonary hypertension and moderate-to-severe tricuspid regurgitation requiring high and increasing doses of vasopressors. The patient was percutaneously cannulated for venoarterial extracorporeal membrane oxygenation (VA-ECMO) and stabilized on ECMO, with a urine output of 17.3 L within the following 8 days. Balloon valvuloplasty and/or transcatheter aortic valve replacement were discussed but ruled out by the multidisciplinary team considering the mitral valve could not be fully addressed. Though lung function was not fully optimized, a window of opportunity was identified and used for double valve replacement on day 8 of VA-ECMO support. After a 24-hour vasoplegic period, the patient was extubated to continuous positive airway pressure and further transitioned to nasal cannula, following which she recovered well. CI - (c) 2019 Wiley Periodicals, Inc. FAU - Maybauer, Marc O AU - Maybauer MO AUID- ORCID: 0000-0003-2406-655X AD - Advanced Critical Care, Nazih Zuhdi Transplant Institute, Advanced Cardiac Care and 24/7 Shock Service, Integris Baptist Medical Center, Oklahoma City, Oklahoma. AD - Cardio-Thoracic Surgery, Nazih Zuhdi Transplant Institute, Advanced Cardiac Care and 24/7 Shock Service, Integris Baptist Medical Center, Oklahoma City, Oklahoma. FAU - El Banayosy, Aly AU - El Banayosy A AD - Advanced Critical Care, Nazih Zuhdi Transplant Institute, Advanced Cardiac Care and 24/7 Shock Service, Integris Baptist Medical Center, Oklahoma City, Oklahoma. FAU - Hooker, Robert L AU - Hooker RL AD - Critical Care Research Group, The Prince Charles Hospital, The University of Queensland, Brisbane, Queensland, Australia. FAU - Vanhooser, David W AU - Vanhooser DW AD - Critical Care Research Group, The Prince Charles Hospital, The University of Queensland, Brisbane, Queensland, Australia. FAU - Harper, Michael D AU - Harper MD AD - Advanced Critical Care, Nazih Zuhdi Transplant Institute, Advanced Cardiac Care and 24/7 Shock Service, Integris Baptist Medical Center, Oklahoma City, Oklahoma. FAU - Mihu, Mircea R AU - Mihu MR AD - Advanced Critical Care, Nazih Zuhdi Transplant Institute, Advanced Cardiac Care and 24/7 Shock Service, Integris Baptist Medical Center, Oklahoma City, Oklahoma. FAU - Swant, Laura V AU - Swant LV AD - Advanced Critical Care, Nazih Zuhdi Transplant Institute, Advanced Cardiac Care and 24/7 Shock Service, Integris Baptist Medical Center, Oklahoma City, Oklahoma. FAU - Horstmanshof, Douglas A AU - Horstmanshof DA AD - Advanced Critical Care, Nazih Zuhdi Transplant Institute, Advanced Cardiac Care and 24/7 Shock Service, Integris Baptist Medical Center, Oklahoma City, Oklahoma. FAU - Koerner, Michael M AU - Koerner MM AD - Advanced Critical Care, Nazih Zuhdi Transplant Institute, Advanced Cardiac Care and 24/7 Shock Service, Integris Baptist Medical Center, Oklahoma City, Oklahoma. LA - eng PT - Case Reports PT - Journal Article DEP - 20190911 PL - United States TA - J Card Surg JT - Journal of cardiac surgery JID - 8908809 SB - IM MH - Aged MH - Aortic Valve Stenosis/complications/*surgery MH - Extracorporeal Membrane Oxygenation/*methods MH - Female MH - Heart Failure/etiology/*therapy MH - Heart Valve Prosthesis Implantation MH - Humans MH - Mitral Valve Stenosis/complications/*surgery MH - Shock, Cardiogenic/etiology/*therapy OTO - NOTNLM OT - ECLS OT - VA-ECMO OT - extracorporeal life support OT - mechanical circulatory support OT - short-term mechanical circulatory support EDAT- 2019/09/12 06:00 MHDA- 2020/06/27 06:00 CRDT- 2019/09/12 06:00 PHST- 2019/09/12 06:00 [pubmed] PHST- 2020/06/27 06:00 [medline] PHST- 2019/09/12 06:00 [entrez] AID - 10.1111/jocs.14255 [doi] PST - ppublish SO - J Card Surg. 2019 Dec;34(12):1664-1666. doi: 10.1111/jocs.14255. Epub 2019 Sep 11.