Acute heart failure due to giant left atrium: remote ECLS implantation for interhospital transfer and bridging to decision

被引：1
作者：
El Beyrouti, Hazem [1 ]
Oberhoffer, Martin [1 ]
Kornberger, Angela [1 ]
Beiras-Fernandez, Andres [1 ]
Vahl, Christian-Friedrich [1 ]
机构：
[1] Johannes Gutenberg Univ Mainz, Mainz, Germany
来源：
INNOVATIVE SURGICAL SCIENCES | 2018年 / 3卷 / 04期
关键词：
extracorporeal life support; giant left atrium; heart failure; mobile ECLS; remote ECLS implantation;
D O I：
10.1515/iss-2018-0029
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Background: Remote extracorporeal life support (ECIS) 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.
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页码：285 / +
页数：8
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