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Korean J Thorac Cardiovasc Surg. 2015 Jun; 48(3): 210–213.
Tae Hee Hong, M.D.,1Joung Hun Byun, M.D.,2Byung Ha Yoo, M.D.,2Sang Won Hwang, M.D.,2Han Yong Kim, M.D.,2 and Jae Hong Park, M.D.2

Abstract

Venoarterial extracorporeal membrane oxygenation (VA ECMO) is widely used in patients with cardiogenic shock. Insufficient decompression of the left ventricle (LV) is considered a major factor preventing adequate LV recovery. A 40-year-old male was diagnosed with acute myocardial infarction, and revascularization was performed using percutaneous stenting. However, cardiogenic shock occurred, and VA ECMO was initiated. Severe LV failure developed, and percutaneous transaortic catheter venting (TACV) was incorporated into the venous circuit of VA ECMO under transthoracic echocardiography guidance. The patient was successfully weaned from VA ECMO. Percutaneous TACV is an effective, relatively noninvasive, and rapid method of LV decompression in patients undergoing VA ECMO.

Keywords: Extracorporeal membrane oxygenation, Cardiogenic shock

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