Prolonged
cardiorespiratory support can be achieved with ECMO that may provide time for
myocardial recovery, prevent multiorgan dysfunction and reduce mortality. Left
ventricle (LV) distension can worsen already distended and hypocontractile
heart. Early recognition and aggressive management of LV distension are
essential for the treatment of patients with low cardiac output. The case
report presented intends to show advantages of left ventricular venting on ECMO
after post-cardiotomy shock. With direct flow measurements on bypass-grafts
before and after the vent implantation, it was possible to clearly demonstrate
the importance of venting for myocardial perfusion.
References
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