Minimally Invasive Mechanical Circulatory Support Through the Perioperative Pulmonary Thromboendarterectomy Period: A Case Report. Innovations (Phila) 2020;15(2):173-176
Date
05/01/2020Pubmed ID
32352901DOI
10.1177/1556984520904790Scopus ID
2-s2.0-85084170601 (requires institutional sign-in at Scopus site) 2 CitationsAbstract
A 64-year-old man being evaluated for pulmonary thromboendarterectomy (PTE) preoperatively experienced pulseless electrical activity secondary to right ventricular failure while undergoing bronchoscopy. After return of spontaneous circulation, a percutaneous right ventricular assist device (RVAD) was placed through the right internal jugular vein. He continued on right ventricular support with demonstration of right ventricular recovery over the following 8 days, and subsequently underwent PTE for treatment of his primary condition. He recovered and was weaned from his RVAD support uneventfully. The need for RVAD support has traditionally been a contraindication for PTE; however, circulatory assist devices have been used as a salvage procedure for right-heart failure after PTE. This case highlights the potential for percutaneous mechanical circulatory support in treating severe perioperative right ventricular dysfunction, and to facilitate successful recovery in patients undergoing PTE.
Author List
Schurman AM, Cain MT, Joyce DL, Durham LA, Ishizawar D, Mohammed A, Joyce LDAuthor
Lucian A. Durham MD, PhD Associate Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Chronic DiseaseEndarterectomy
Heart Failure
Heart-Assist Devices
Humans
Hypertension, Pulmonary
Male
Middle Aged
Preoperative Period
Prosthesis Implantation
Pulmonary Embolism
Treatment Outcome
Ventricular Dysfunction, Right
