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Semin. Thorac. Cardiovasc. Surg. · Jan 2012
Mechanical support for pulmonary veno-occlusive disease: combined atrial septostomy and venovenous extracorporeal membrane oxygenation.
- Charles W Hoopes, John C Gurley, Joseph B Zwischenberger, and Enrique Diaz-Guzman.
- Department of Surgery, Section of Transplantation, University of Kentucky College of Medicine, Lexington, Kentucky 40536-0284, USA. charles.hoopes@uky.edu
- Semin. Thorac. Cardiovasc. Surg. 2012 Jan 1;24(3):232-4.
AbstractThe use of atrial septostomy for refractory pulmonary hypertension and right ventricular failure results in an adequate left ventricular preload and improved cardiac output at the expense of a profound hypoxic shunt. Combined dual-lumen venovenous extracorporeal membrane oxygenation and atrial septostomy provides extracorporeal gas exchange of venous return before the directional right atrial to left atrial shunt, can be deployed percutaneously, and results in an ambulatory patient with stable hemodynamics.Copyright © 2012 Elsevier Inc. All rights reserved.
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