Key result
Venoarterial extracorporeal membrane oxygenation (ECMO) was successfully used as a bridge to emergency aortic-valve replacement in a patient with severe aortic regurgitation and cardiovascular collapse.
Case Report (n=1)
Venoarterial ECMO can be successfully used for resuscitation and as a bridge to emergency surgery in patients with severe aortic regurgitation complicated by cardiovascular collapse.
We report the case of a 55-year-old man who was transferred from an overseas institution with an initial impression of non-ST-elevation myocardial infarction (NSTEMI). Subsequent investigation found a severe aortic regurgitation (AR) complicated by acute ischemic hepatitis and acute renal injury, and the patient developed cardiopulmonary collapse with pulseless electrical activity perioperatively. Cardiopulmonary resuscitation was commenced immediately, venoarterial extracorporeal membrane oxygenation (ECMO) was immediately set up to bridge for emergency aortic-valve replacement surgery. The patient was subsequently weaned off ECMO and made a complete recovery. We demonstrate the successful use of ECMO for resuscitation in a patient with AR complicated by cardiovascular collapse.
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Lu et al. (2018) conducted a case report in Acute severe aortic regurgitation with cardiovascular collapse (n=1). Venoarterial extracorporeal membrane oxygenation (ECMO) was evaluated on Complete recovery. Venoarterial extracorporeal membrane oxygenation (ECMO) was successfully used as a bridge to emergency aortic-valve replacement in a patient with severe aortic regurgitation and cardiovascular collapse.
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