Percutaneous Transseptal Left Atrial Drainage for Decompression of the Left Heart in an Adult Patient during Percutaneous Cardiopulmonary Support.
10.4070/kcj.2011.41.7.402
- Author:
Min Ho KANG
1
;
Joo Yong HAHN
;
Hyeon Cheol GWON
;
Young Bin SONG
;
Jin Oh CHOI
;
Jin Ho CHOI
;
Seung Hyuk CHOI
;
Sang Hoon LEE
;
Eun Suk JEON
Author Information
1. Division of Cardiology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. jyhahn@skku.edu
- Publication Type:Case Report
- Keywords:
Heart arrest;
Assisted circulation;
Heart catheterization
- MeSH:
Adult;
Assisted Circulation;
Cardiac Catheterization;
Catheters;
Decompression;
Drainage;
Heart;
Heart Arrest;
Humans;
Lymphohistiocytosis, Hemophagocytic;
Male;
Pulmonary Edema;
Ventricular Dysfunction, Left
- From:Korean Circulation Journal
2011;41(7):402-404
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 28-year-old male with hemophagocytic lymphohistiocytosis presented with left ventricular dysfunction and cardiac arrest. Percutaneous cardiopulmonary support (PCPS) was initiated, but left heart distension developed with associated aggravation of pulmonary edema. Percutaneous transseptal left atrial sheath (28-Fr) drainage was incorporated into the PCPS venous circuit under fluoroscopic guidance to enable left heart decompression 1 days after PCPS initiation. The patient's pulmonary edema improved markedly, and distention of his left heart diminished. He was successfully weaned from PCPS 5 days later. Percutaneous transseptal left atrial drainage with large venous cannulae is feasible and effective in decompressing the left heart in adult patients during PCPS.
