Back to Search
Start Over
Buying time! VA-ECMO as a bridge to successful reoperative cardiac surgery in a case of traumatic tricuspid valve injury.
- Source :
-
Journal of Surgical Case Reports . Oct2023, Vol. 2023 Issue 10, p1-4. 4p. - Publication Year :
- 2023
-
Abstract
- Cardiac surgery performed on patients in cardiogenic shock is associated with a high mortality and morbidity. Preoperative Extra Corporeal Membrane Oxygenation (ECMO) in cardiogenic shock gives critically-ill patients a chance for surgical intervention and is associated with better surgical outcomes. We present a 29-year-old male who had a ventricular septal defect closure as a child and presented with multi-organ injuries following polytrauma. He was in cardiogenic shock despite maximal inotropic support. Transesophageal echocardiography demonstrated torrential tricuspid regurgitation (TR) from a flail tricuspid valve (TV) leaflet as the cause of cardiogenic shock. He was stabilized on Veno-Arterial ECMO and underwent reoperative cardiac surgery. Intra-operatively, the anterior leaflet of his TV and its papillary muscle was detached from the right ventricle. He had a successful tissue TV replacement. Early surgery was indicated to treat right ventricular failure due to torrential TR, but due to his restricting non-cardiac injuries, ECMO was successfully used as a short-term support strategy and as a bridge to definitive surgery. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 20428812
- Volume :
- 2023
- Issue :
- 10
- Database :
- Academic Search Index
- Journal :
- Journal of Surgical Case Reports
- Publication Type :
- Academic Journal
- Accession number :
- 173587753
- Full Text :
- https://doi.org/10.1093/jscr/rjad597