alexa Right Ventricular Failure Following Acute Type A Aortic Dissection Successfully Treated with ECMO: Report of Two Cases
ISSN: 2165-7920

Journal of Clinical Case Reports
Open Access

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Case Report

Right Ventricular Failure Following Acute Type A Aortic Dissection Successfully Treated with ECMO: Report of Two Cases

Szczechowicz Marcin*, Weymann Alexander and Szabo Gabor

Department of Cardiac Surgery, University Hospital Heidelberg, Heidelberg, Germany

*Corresponding Author:
Marcin Szczechowicz
Department of Cardiac Surgery
University Hospital Heidelberg
Heidelberg, Germany
Tel: +491711732193
E-mail: [email protected]

Received Date: November 17, 2016; Accepted Date: December 20, 2016; Published Date: December 27, 2016

Citation: Marcin S, Alexander W, Gabor S (2016) Right Ventricular Failure Following Acute Type A Aortic Dissection Successfully Treated with ECMO: Report of Two Cases. J Clin Case Rep 6:906. doi: 10.4172/2165-7920.1000906

Copyright: © 2016 Marcin S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Patients with acute aortic dissection report often the typical sharp, abrupt chest pain. In some cases, when the disease leads to the coronary malperfusion, the symptoms of acute coronary syndrome may be reported. Low cardiac output as the result of the accompanying coronary flow disturbances can require the mechanical cardiopulmonary support. In some selected cases extracorporeal membrane oxygenation can be successfully used as a bridge to recovery or bridge to decision. The additional advantage of this therapeutic option is the possibility of choice of the cannulation strategy: veno-venous, veno-arterial, veno-pulmonal, central/peripheral. Oxygen delivery can be easily regulated on oxygenator. We present two patients with acute type A aortic dissection and acute coronary syndrome, who recovered thanks to such therapy.

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