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Extracorporeal membrane oxygenation as a method to manage acute cardiopulmonary failure after emergency coronary artery bypass grafting
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Abstract
Acute cardiopulmonary failure after emergency coronary artery bypass grafting (CABG) is a complex therapeutic problem due to its high mortality rate. This paper reports the safety and effectiveness of extracorporeal membrane oxygenation (ECMO) in treating acute cardiopulmonary failure following emergency CABG. A 37-day period of mechanical circulation support and extracorporeal blood oxygenation with the ECMO method served as a bridge to recovery. At day 34 following the disconnection of ECMO, a patient with EF > 35% was transferred to a rehabilitation ward. The procedure can be successful only when the physicians, nurses and perfusionists of the intensive care team cooperate closely.
Abstract
Acute cardiopulmonary failure after emergency coronary artery bypass grafting (CABG) is a complex therapeutic problem due to its high mortality rate. This paper reports the safety and effectiveness of extracorporeal membrane oxygenation (ECMO) in treating acute cardiopulmonary failure following emergency CABG. A 37-day period of mechanical circulation support and extracorporeal blood oxygenation with the ECMO method served as a bridge to recovery. At day 34 following the disconnection of ECMO, a patient with EF > 35% was transferred to a rehabilitation ward. The procedure can be successful only when the physicians, nurses and perfusionists of the intensive care team cooperate closely.
Keywords
extracorporeal membrane oxygenation, heart failure, coronary artery bypass graft
About this articleTitle
Extracorporeal membrane oxygenation as a method to manage acute cardiopulmonary failure after emergency coronary artery bypass grafting
Journal
Disaster and Emergency Medicine Journal
Issue
Article type
Case report
Pages
45-49
Published online
2017-03-31
Page views
653
Article views/downloads
1337
DOI
Bibliographic record
Disaster Emerg Med J 2017;2(1):45-49.
Keywords
extracorporeal membrane oxygenation
heart failure
coronary artery bypass graft
Authors
Lukasz Czyzewski
Andrzej Kurowski
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