Mahmoud Yousef Ibrahim Abuharb1, Dong Ran2, Zheng Jubing3, Liu Taoshuai1, Dong Haiming1, Hou Xiaotong1, Song Yue1, Zhao Yang1, Li Yang1. 1. Cardiovascular Surgery Department, Capital Medical University Affiliated Anzhen Hospital, Aiguo Road, Lianhe Avenue, Beijing, 100029, China. 2. Cardiovascular Surgery Department, Capital Medical University Affiliated Anzhen Hospital, Aiguo Road, Lianhe Avenue, Beijing, 100029, China. mahmoudabuharb@dingtalk.com. 3. Cardiovascular Surgery Department, Capital Medical University Affiliated Anzhen Hospital, Aiguo Road, Lianhe Avenue, Beijing, 100029, China. 2258356549@qq.com.
Abstract
OBJECTIVES: To summarise the surgical outcomes in patients with cardiogenic shock supported by preoperative extracorporeal membrane oxygenation (ECMO). METHODS: Between May 2012 and August 2017, eight patients with cardiogenic shock, who were supported by ECMO, underwent emergency surgery; four of them had isolated coronary artery bypass grafting, three had coronary artery bypass grafting with mitral replacement, and one had mitral valve replacement with left ventricular posterior wall repair. RESULTS: All eight patients were successfully weaned off from ECMO after their surgeries. Postoperative ECMO time ranged from 6.8 to 228.0 h, with a median of 68.4 h. Two patients died postoperatively while another six survived. The follow up time for the six patients ranged from three to 66 months, whereby one of them died in the third month due to septicaemia. The remaining five patients survived with good cardiac function based on the NYHA classification. CONCLUSION: ECMO is a vital bridge in the preparation of critically-ill patients for cardiac surgery. It is associated with acceptable outcomes among most of the patients.
OBJECTIVES: To summarise the surgical outcomes in patients with cardiogenic shock supported by preoperative extracorporeal membrane oxygenation (ECMO). METHODS: Between May 2012 and August 2017, eight patients with cardiogenic shock, who were supported by ECMO, underwent emergency surgery; four of them had isolated coronary artery bypass grafting, three had coronary artery bypass grafting with mitral replacement, and one had mitral valve replacement with left ventricular posterior wall repair. RESULTS: All eight patients were successfully weaned off from ECMO after their surgeries. Postoperative ECMO time ranged from 6.8 to 228.0 h, with a median of 68.4 h. Two patientsdied postoperatively while another six survived. The follow up time for the six patients ranged from three to 66 months, whereby one of them died in the third month due to septicaemia. The remaining five patients survived with good cardiac function based on the NYHA classification. CONCLUSION: ECMO is a vital bridge in the preparation of critically-illpatients for cardiac surgery. It is associated with acceptable outcomes among most of the patients.
Authors: W M Zapol; M T Snider; J D Hill; R J Fallat; R H Bartlett; L H Edmunds; A H Morris; E C Peirce; A N Thomas; H J Proctor; P A Drinker; P C Pratt; A Bagniewski; R G Miller Journal: JAMA Date: 1979-11-16 Impact factor: 56.272
Authors: Victor Bautista-Hernandez; Ravi R Thiagarajan; Francis Fynn-Thompson; Satish K Rajagopal; Daniel E Nento; Vamsi Yarlagadda; Sarah A Teele; Catherine K Allan; Sitaram M Emani; Peter C Laussen; Frank A Pigula; Emile A Bacha Journal: Ann Thorac Surg Date: 2009-10 Impact factor: 4.330