open access

Vol 2, No 1 (2017)
Case report
Published online: 2017-03-31
Get Citation

Extracorporeal membrane oxygenation as a method to manage acute cardiopulmonary failure after emergency coronary artery bypass grafting

Lukasz Czyzewski, Andrzej Kurowski
DOI: 10.5603/DEMJ.2017.0008
·
Disaster Emerg Med J 2017;2(1):45-49.

open access

Vol 2, No 1 (2017)
CASE REPORTS
Published online: 2017-03-31

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.

Get Citation

Keywords

extracorporeal membrane oxygenation, heart failure, coronary artery bypass graft

About this article
Title

Extracorporeal membrane oxygenation as a method to manage acute cardiopulmonary failure after emergency coronary artery bypass grafting

Journal

Disaster and Emergency Medicine Journal

Issue

Vol 2, No 1 (2017)

Article type

Case report

Pages

45-49

Published online

2017-03-31

DOI

10.5603/DEMJ.2017.0008

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

References (10)
  1. McMurray JJV, Adamopoulos S, Anker SD, et al. Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology, ESC Committee for Practice Guidelines. ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC. Eur J Heart Fail. 2012; 14(8): 803–869.
  2. Conrad SA, Grier LR, Scott LK, et al. Percutaneous cannulation for extracorporeal membrane oxygenation by intensivists: a retrospective single-institution case series. Crit Care Med. 2015; 43(5): 1010–1015.
  3. Abrams D, Combes A, Brodie D. Extracorporeal membrane oxygenation in cardiopulmonary disease in adults. J Am Coll Cardiol. 2014; 63: 2769–2778.
  4. Bartlett RH, Roloff DW, Custer JR, et al. Extracorporeal life support: the University of Michigan experience. JAMA. 2000; 283(7): 904–908.
  5. Biancari F, Onorati F, Rubino AS, et al. Outcome of emergency coronary artery bypass grafting. J Cardiothorac Vasc Anesth. 2015; 29(2): 275–282.
  6. Smith C, Bellomo R, Raman JS, et al. An extracorporeal membrane oxygenation-based approach to cardiogenic shock in an older population. Ann Thorac Surg. 2001; 71(5): 1421–1427.
  7. Rastan AJ, Dege A, Mohr M, et al. Early and late outcomes of 517 consecutive adult patients treated with extracorporeal membrane oxygenation for refractory postcardiotomy cardiogenic shock. J Thorac Cardiovasc Surg. 2010; 139(2): 302–311.
  8. Doll N, Kiaii B, Borger M, et al. Five-year results of 219 consecutive patients treated with extracorporeal membrane oxygenation for refractory postoperative cardiogenic shock. Ann Thorac Surg. 2004; 77(1): 151–157.
  9. Paden ML, Conrad SA, Rycus PT, et al. ELSO Registry. Extracorporeal Life Support Organization Registry Report 2012. ASAIO J. 2013; 59(3): 202–210.
  10. Golding LA, Crouch RD, Stewart RW, et al. Postcardiotomy centrifugal mechanical ventricular support. Ann Thorac Surg. 1992; 54(6): 1059–1063.

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk, Poland
tel.:+48 58 320 94 94, fax:+48 58 320 94 60, e-mail: viamedica@viamedica.pl