Successful Left-Heart Decompression during Extracorporeal Membrane Oxygenation in an Adult Patient by Percutaneous Transaortic Catheter Venting

• Main Authors: Tae Hee Hong, Joung Hun Byun, Byung Ha Yoo, Sang Won Hwang, Han Yong Kim, Jae Hong Park
• Format: Article
• Language: English
• Published: Korean Society for Thoracic and Cardiovascular Surgery 2015-06-01
• Series: Korean Journal of Thoracic and Cardiovascular Surgery
• Subjects: Extracorporeal membrane oxygenation; Cardiogenic shock
• Online Access: http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2015.48.3.210
• ISSN: 2233-601X; 2093-6516

Venoarterial extracorporeal membrane oxygenation (VA ECMO) is widely used in patients with cardiogenic shock. Insufficient decompression of the left ventricle (LV) is considered a major factor preventing adequate LV recovery. A 40-year-old male was diagnosed with acute myocardial infarction, and revascularization was performed using percutaneous stenting. However, cardiogenic shock occurred, and VA ECMO was initiated. Severe LV failure developed, and percutaneous transaortic catheter venting (TACV) was incorporated into the venous circuit of VA ECMO under transthoracic echocardiography guidance. The patient was successfully weaned from VA ECMO. Percutaneous TACV is an effective, relatively noninvasive, and rapid method of LV decompression in patients undergoing VA ECMO.