Hypoxemia Requiring Venovenous Extracorporeal Membrane Oxygenation after Tricuspid Valvulectomy for Infective Endocarditis

Macedo, Julian; Grawe, Erin S.

doi:10.1016/j.case.2019.04.002

Cited by 2 publications

(2 citation statements)

References 11 publications

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“…In one case, an undiagnosed or newly developed PFO in the patient resulted in right-to-left shunting and subsequent refractory hypoxemia post tricuspid valvectomy. 6 ECMO gave providers time to diagnose the PFO on imaging and appropriately prepare the patient for corrective surgery. In our case, ECMO was a planned procedure, which allowed infection clearance and prevented further complications from VSD and right-sided heart failure in preparation for definitive management.…”

Section: Discussionmentioning

confidence: 99%

Extracorporeal membrane oxygenator as a bridge to definitive treatment in patients with persistent infective endocarditis

Fereydooni

Shang

et al. 2023

Perfusion

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Considering the worsening opioid epidemic, complicated infective endocarditis (IE) secondary to intravenous drug use (IVDU) that fails medical management is increasingly common. We present a 31-year-old patient post tricuspid valve replacement who relapsed with recurrent IE and secondary complications of severe tricuspid stenosis and regurgitation, ventricular septal defect (VSD), pulmonary emboli, right-sided heart failure with severe hepatic congestion, and cardiogenic shock. Despite maximal medical management, the patient remained in septic and cardiogenic shock with a potential disposition to hospice care. Upon consulting cardiothoracic surgery, she underwent a first-stage valvectomy with central Extracorporeal Membrane Oxygenation (ECMO) as a bridge to definitive treatment. After clearance of infection, she underwent a second-stage valve replacement, VSD repair, and final ECMO decannulation. Our case alludes to ECMO as a potential bridge for patients with complicated infective endocarditis who fail medical management and are high-risk candidates for immediate definitive surgical management.

show abstract

Section: Discussionmentioning

confidence: 99%

Extracorporeal membrane oxygenator as a bridge to definitive treatment in patients with persistent infective endocarditis

Fereydooni

Shang

et al. 2023

Perfusion

View full text Add to dashboard Cite

show abstract

“…In one case, an undiagnosed or newly developed PFO in the patient resulted in right to left shunting and subsequent refractory hypoxemia post tricuspid valvectomy. 6 ECMO gave providers time to diagnose the PFO on imaging and appropriately prepare patients for corrective surgery. In our case, ECMO was a planned procedure, allowing the clearance of bacteremia and preventing further complications from VSD and right-sided heart failure in preparation for definitive management.…”

Section: Discussionmentioning

confidence: 99%

Extracorporeal membrane oxygenator as a bridge to definitive treatment in patients with persistent infective endocarditis

Fereydooni

Shang

et al. 2022

Preprint

View full text Add to dashboard Cite

Considering the worsening opioid epidemic, complicated infective endocarditis (IE) secondary to intravenous drug use (IVDU) that fails medical management is increasingly common. We present a 31-year-old patient post tricuspid valve replacement who relapsed with recurrent IE and secondary complications of severe tricuspid stenosis and regurgitation, ventricular septal defect (VSD), pulmonary emboli, right-sided heart failure with severe hepatic congestion, and cardiogenic shock. Despite maximal medical management, the patient remained in septic and cardiogenic shock with a potential disposition to hospice care. Upon consulting cardiothoracic surgery, she underwent a first-stage valvectomy with Extracorporeal Membrane Oxygenation (ECMO) as a bridge to definitive treatment. After clearance of infection, she underwent a second-stage valve replacement, VSD repair, and final ECMO decannulation. Our case alludes to ECMO as a potential bridge for patients with complicated infective endocarditis who fail medical management and are high-risk candidates for immediate definitive surgical management.

show abstract

Hypoxemia Requiring Venovenous Extracorporeal Membrane Oxygenation after Tricuspid Valvulectomy for Infective Endocarditis

Abstract: Graphical abstract

Cited by 2 publications

References 11 publications

Extracorporeal membrane oxygenator as a bridge to definitive treatment in patients with persistent infective endocarditis

Extracorporeal membrane oxygenator as a bridge to definitive treatment in patients with persistent infective endocarditis

Extracorporeal membrane oxygenator as a bridge to definitive treatment in patients with persistent infective endocarditis

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