• Catheter Cardiovasc Interv · May 2015

    Case Reports

    Percutaneous bi-atrial extracorporeal membrane oxygenation for acute circulatory support in advanced heart failure.

    • Marwan Jumean, Pham Duc Thinh DT, and Navin K Kapur.
    • The Cardiovascular Center, Tufts Medical Center, Boston, Massachusetts.
    • Catheter Cardiovasc Interv. 2015 May 1; 85 (6): 1097-9.

    AbstractVeno-arterial extracorporeal membrane oxygenation (VA-ECMO) may improve survival after cardiac arrest by providing cardiopulmonary support. However, VA-ECMO increases left ventricular (LV) afterload, which can promote progressive LV distension and often requires a secondary approach to reduce LV pressure and volume in patients with left heart failure. We report a case of biventricular unloading via biatrial cannulation in the presence of LV thrombus using a TandemHeart percutaneous trans-septal cannula for VA-ECMO in an adult patient with refractory ventricular fibrillation.© 2014 Wiley Periodicals, Inc.

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