Extracorporeal Membrane Oxygenation for 67 Days as a Bridge to Heart Transplantation in a Postcardiotomy Patient with Failing Heart and Mediastinitis

We report a case of successful heart transplantation after 67 days of support with venoarterial extracorporeal membrane oxygenation (ECMO) in a patient who underwent surgery for type A aortic dissection and myocardial infarction complicated by irreversible myocardial damage and a deep sternal wound...

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Main Authors: Hyoung Woo Chang, Yang Hyun Cho, Suhyun Cho, Kiick Sung, Pyo Won Park
Format: Article
Language:English
Published: Korean Society of Critical Care Medicine 2015-11-01
Series:Korean Journal of Critical Care Medicine
Subjects:
Online Access:http://kjccm.org/upload/pdf/kjccm-2015-30-4-295.pdf
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author Hyoung Woo Chang
Yang Hyun Cho
Suhyun Cho
Kiick Sung
Pyo Won Park
author_facet Hyoung Woo Chang
Yang Hyun Cho
Suhyun Cho
Kiick Sung
Pyo Won Park
author_sort Hyoung Woo Chang
collection DOAJ
description We report a case of successful heart transplantation after 67 days of support with venoarterial extracorporeal membrane oxygenation (ECMO) in a patient who underwent surgery for type A aortic dissection and myocardial infarction complicated by irreversible myocardial damage and a deep sternal wound infection. During ECMO support, left heart vent and distal limb perfusion were performed. Mediastinitis was treated with mediastinal washout and irrigation. Multiple complications from peripheral ECMO were successfully managed.
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spelling doaj.art-c8a422f81bb0460d80568df094a4082f2022-12-22T02:10:32ZengKorean Society of Critical Care MedicineKorean Journal of Critical Care Medicine2383-48702383-48892015-11-0130429529810.4266/kjccm.2015.30.4.29543Extracorporeal Membrane Oxygenation for 67 Days as a Bridge to Heart Transplantation in a Postcardiotomy Patient with Failing Heart and MediastinitisHyoung Woo ChangYang Hyun ChoSuhyun ChoKiick SungPyo Won ParkWe report a case of successful heart transplantation after 67 days of support with venoarterial extracorporeal membrane oxygenation (ECMO) in a patient who underwent surgery for type A aortic dissection and myocardial infarction complicated by irreversible myocardial damage and a deep sternal wound infection. During ECMO support, left heart vent and distal limb perfusion were performed. Mediastinitis was treated with mediastinal washout and irrigation. Multiple complications from peripheral ECMO were successfully managed.http://kjccm.org/upload/pdf/kjccm-2015-30-4-295.pdfcardiomyopathyextracorporeal membrane oxygenationheartmediastinitisshocktransplantation
spellingShingle Hyoung Woo Chang
Yang Hyun Cho
Suhyun Cho
Kiick Sung
Pyo Won Park
Extracorporeal Membrane Oxygenation for 67 Days as a Bridge to Heart Transplantation in a Postcardiotomy Patient with Failing Heart and Mediastinitis
Korean Journal of Critical Care Medicine
cardiomyopathy
extracorporeal membrane oxygenation
heart
mediastinitis
shock
transplantation
title Extracorporeal Membrane Oxygenation for 67 Days as a Bridge to Heart Transplantation in a Postcardiotomy Patient with Failing Heart and Mediastinitis
title_full Extracorporeal Membrane Oxygenation for 67 Days as a Bridge to Heart Transplantation in a Postcardiotomy Patient with Failing Heart and Mediastinitis
title_fullStr Extracorporeal Membrane Oxygenation for 67 Days as a Bridge to Heart Transplantation in a Postcardiotomy Patient with Failing Heart and Mediastinitis
title_full_unstemmed Extracorporeal Membrane Oxygenation for 67 Days as a Bridge to Heart Transplantation in a Postcardiotomy Patient with Failing Heart and Mediastinitis
title_short Extracorporeal Membrane Oxygenation for 67 Days as a Bridge to Heart Transplantation in a Postcardiotomy Patient with Failing Heart and Mediastinitis
title_sort extracorporeal membrane oxygenation for 67 days as a bridge to heart transplantation in a postcardiotomy patient with failing heart and mediastinitis
topic cardiomyopathy
extracorporeal membrane oxygenation
heart
mediastinitis
shock
transplantation
url http://kjccm.org/upload/pdf/kjccm-2015-30-4-295.pdf
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