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Acute heart failure due to giant left atrium: remote ECLS implantation for interhospital transfer and bridging to decision
BACKGROUND: Remote extracorporeal life support (ECLS) implantation and mobile ECLS are increasingly applied to enable the treatment of patients with refractory heart failure at specialized care centers. Giant left atrium (GLA) is a rare cause but may lead to acute and devastating heart failure. CASE...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
De Gruyter
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6604584/ https://www.ncbi.nlm.nih.gov/pubmed/31579793 http://dx.doi.org/10.1515/iss-2018-0029 |
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author | El Beyrouti, Hazem Oberhoffer, Martin Kornberger, Angela Beiras-Fernandez, Andres Vahl, Christian-Friedrich |
author_facet | El Beyrouti, Hazem Oberhoffer, Martin Kornberger, Angela Beiras-Fernandez, Andres Vahl, Christian-Friedrich |
author_sort | El Beyrouti, Hazem |
collection | PubMed |
description | BACKGROUND: Remote extracorporeal life support (ECLS) implantation and mobile ECLS are increasingly applied to enable the treatment of patients with refractory heart failure at specialized care centers. Giant left atrium (GLA) is a rare cause but may lead to acute and devastating heart failure. CASE REPORT: Acute heart failure that gave rise to a prolonged period of out-of-hospital cardiopulmonary resuscitation in a patient who underwent remote ECLS implantation was found to have resulted from a GLA of impressive dimensions. There having no reasonable option for immediate surgical therapy, the patient was successfully bridged to recovery with a view to subsequent heart transplantation. CONCLUSIONS: The threshold to rapid institution of ECLS should be low in patients with acute refractory heart failure, including those with uncommon pathologies. Remote ECLS implantation and interhospital transfer on mobile ECLS increase the chances of survival in cases requiring treatment by specialized care centers. |
format | Online Article Text |
id | pubmed-6604584 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | De Gruyter |
record_format | MEDLINE/PubMed |
spelling | pubmed-66045842019-10-02 Acute heart failure due to giant left atrium: remote ECLS implantation for interhospital transfer and bridging to decision El Beyrouti, Hazem Oberhoffer, Martin Kornberger, Angela Beiras-Fernandez, Andres Vahl, Christian-Friedrich Innov Surg Sci Case Report BACKGROUND: Remote extracorporeal life support (ECLS) implantation and mobile ECLS are increasingly applied to enable the treatment of patients with refractory heart failure at specialized care centers. Giant left atrium (GLA) is a rare cause but may lead to acute and devastating heart failure. CASE REPORT: Acute heart failure that gave rise to a prolonged period of out-of-hospital cardiopulmonary resuscitation in a patient who underwent remote ECLS implantation was found to have resulted from a GLA of impressive dimensions. There having no reasonable option for immediate surgical therapy, the patient was successfully bridged to recovery with a view to subsequent heart transplantation. CONCLUSIONS: The threshold to rapid institution of ECLS should be low in patients with acute refractory heart failure, including those with uncommon pathologies. Remote ECLS implantation and interhospital transfer on mobile ECLS increase the chances of survival in cases requiring treatment by specialized care centers. De Gruyter 2018-12-20 /pmc/articles/PMC6604584/ /pubmed/31579793 http://dx.doi.org/10.1515/iss-2018-0029 Text en ©2018 El Beyrouti H., et al., published by De Gruyter, Berlin/Boston http://creativecommons.org/licenses/by-nc-nd/4.0 This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License. |
spellingShingle | Case Report El Beyrouti, Hazem Oberhoffer, Martin Kornberger, Angela Beiras-Fernandez, Andres Vahl, Christian-Friedrich Acute heart failure due to giant left atrium: remote ECLS implantation for interhospital transfer and bridging to decision |
title | Acute heart failure due to giant left atrium: remote ECLS implantation for interhospital transfer and bridging to decision |
title_full | Acute heart failure due to giant left atrium: remote ECLS implantation for interhospital transfer and bridging to decision |
title_fullStr | Acute heart failure due to giant left atrium: remote ECLS implantation for interhospital transfer and bridging to decision |
title_full_unstemmed | Acute heart failure due to giant left atrium: remote ECLS implantation for interhospital transfer and bridging to decision |
title_short | Acute heart failure due to giant left atrium: remote ECLS implantation for interhospital transfer and bridging to decision |
title_sort | acute heart failure due to giant left atrium: remote ecls implantation for interhospital transfer and bridging to decision |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6604584/ https://www.ncbi.nlm.nih.gov/pubmed/31579793 http://dx.doi.org/10.1515/iss-2018-0029 |
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