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Diario Oficial de la Sociedad Mexicana de Cirugía Cardiaca, A.C., y del Colegio Mexicano de Cirugía Cardiovascular y Torácica, A.C.

2019, Number 1

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Cir Card Mex 2019; 4 (1)

Reanimación cardiopulmonar y oxigenación por membrana extracorporea durante realización de procedimiento intervencionista en paciente postoperado de implante protésico aórtico

Hernández-Rendón E, Ortiz-Betance G, Galván-Cerón I, Lima R, Roldán-Morales D, Jiménez R, Díaz-Domínguez E, Elena-Medina L, Barragán A, Ramírez-Castañeda A, Ramírez-Castañeda S, Riera-Kinkel C

Language: Spanish
References: 14
Page: 19-22
PDF size: 322.45 Kb.


ABSTRACT

Survival after cardiorespiratory arrest has remained very low despite the innovative techniques and impact on quality and cardiopulmonary resuscitation. Oxygenation by Veno-Arterial modality VA ECMO (Veno-Arterial modality) is a cardiopulmonary resuscitation for pediatric patients with cardiovascular cause of cardiac arrest should be considered as a rescue strategy in experience centers. We present here the case of a 13-year-old patient with complications after aortic valve replacement. Urgent coronariography showed thrombotic obstruction TIMI 1 in the left main coronary artery. Cardiorespiratory arrest was present. In a multitask fashion by ECMO team, it was decided to place circulatory support type VA ECMO. After achieving a TIMI 3 flow restoration in the culprit vessel, VA ECMO was removed on the 6th day without complications. The rest of evolution was uneventful. VA ECMO may be superior than the placement of percutaneous ventricular assistant devices in a patient with cardiorespiratory arrest in the haemodynamic room, where mechanical compression of the thorax can severely alter the working conditions of the interventional cardiologists.


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