Venoarterial Extracorporeal Membrane Oxygenation in Sickle Cell Disease for Urgent Cardiac Surgery

被引：1

作者：

de Roux, Quentin

Maghrebi, Sami

Fiore, Antonio

Arminot-Fremaux, Margot

Dessalle, Thomas

Lim, Pascal

Folliguet, Thierry

Bartolucci, Pablo

Langeron, Olivier

Mongardon, Nicolas

机构：

[1] CHU Henri Mondor, AP HP, Serv Anesthesie Reanimat Chirurg, Serv Chirurg Cardiaque,Serv Cardiol, Creteil, France

[2] CHU Henri Mondor, AP HP, Unit Malad Genet Globule Rouge, Creteil, France

[3] Univ Paris Est Creteil, Fac Med, Creteil, France

[4] UPEC, INSERM, Equipe Strategies Pharmacol & Therapeut Expt Insu, Ecole Natl Vet dAlfort,U955 IMRB, Maisons Alfort, France

来源：

ANNALS OF THORACIC SURGERY | 2020年 / 109卷 / 03期

关键词：

ACUTE CHEST SYNDROME;

D O I：

10.1016/j.athoracsur.2019.05.093

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Sickle cell disease (SCD) is among the most common genetic diseases, with a recent increase in life expectancy. Patients may therefore need similar surgical procedures as does the general population, including cardiac surgery. Cardiopulmonary bypass is a homeostasis challenge for SCD patients, with high risk of vasoocclusive crisis. In the most severe cases of cardiogenic shock, venoarterial extracorporeal membrane oxygenation (VA-ECMO) may be required, with prolonged exposure to extreme non-physiological conditions. We report a case of post-cardiotomy shock in an SCD patient successfully managed with VA-ECMO. This highlights that SCD should not be a counterindication to VA-ECMO, pending multidisciplinary management. (C) 2020 by The Society of Thoracic Surgeons

引用

页码：E161 / E162

页数：2