Extracorporeal Membrane Oxygenation for 67 Days as a Bridge to Heart Transplantation in a Postcardiotomy Patient with Failing Heart and Mediastinitis
10.4266/kjccm.2015.30.4.295
- Author:
Hyoung Woo CHANG
1
;
Yang Hyun CHO
;
Suhyun CHO
;
Kiick SUNG
;
Pyo Won PARK
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. pwpark@skku.edu
- Publication Type:Case Report
- Keywords:
cardiomyopathy;
extracorporeal membrane oxygenation;
heart;
mediastinitis;
shock;
transplantation
- MeSH:
Cardiomyopathies;
Extracorporeal Membrane Oxygenation;
Extremities;
Heart Transplantation;
Heart;
Humans;
Mediastinitis;
Myocardial Infarction;
Perfusion;
Shock;
Transplantation;
Wound Infection
- From:The Korean Journal of Critical Care Medicine
2015;30(4):295-298
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
