Mechanical Support for Pulmonary Veno-occlusive Disease: Combined Atrial Septostomy and Venovenous Extracorporeal Membrane Oxygenation

Charles W. Hoopes, John C. Gurley, Joseph B. Zwischenberger, Enrique Diaz-Guzman

Research output: Contribution to journalArticlepeer-review

31 Scopus citations

Abstract

The use of atrial septostomy for refractory pulmonary hypertension and right ventricular failure results in an adequate left ventricular preload and improved cardiac output at the expense of a profound hypoxic shunt. Combined dual-lumen venovenous extracorporeal membrane oxygenation and atrial septostomy provides extracorporeal gas exchange of venous return before the directional right atrial to left atrial shunt, can be deployed percutaneously, and results in an ambulatory patient with stable hemodynamics.

Original languageEnglish
Pages (from-to)232-234
Number of pages3
JournalSeminars in Thoracic and Cardiovascular Surgery
Volume24
Issue number3
DOIs
StatePublished - 2012

Keywords

  • Atrial
  • ECMO
  • Pulmonary hypertension
  • Septostomy
  • Transplant
  • veno-occlusive

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Fingerprint

Dive into the research topics of 'Mechanical Support for Pulmonary Veno-occlusive Disease: Combined Atrial Septostomy and Venovenous Extracorporeal Membrane Oxygenation'. Together they form a unique fingerprint.

Cite this