Percutaneous Transseptal Left Atrial Drainage for Decompression of the Left Heart in an Adult Patient During Percutaneous Cardiopulmonary Support

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 atri...

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Detalles Bibliográficos
Autores principales: Kang, Min-Ho, Hahn, Joo-Yong, Gwon, Hyeon-Cheol, Song, Young Bin, Choi, Jin Oh, Choi, Jin-Ho, Choi, Seung-Hyuk, Lee, Sang Hoon, Jeon, Eun Suk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Cardiology 2011
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3152736/
https://www.ncbi.nlm.nih.gov/pubmed/21860643
http://dx.doi.org/10.4070/kcj.2011.41.7.402
Descripción
Sumario: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.

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