6533b828fe1ef96bd128852e

RESEARCH PRODUCT

Acute heart failure due to giant left atrium: remote ECLS implantation for interhospital transfer and bridging to decision

Christian-friedrich VahlAngela KornbergerM. OberhofferHazem El BeyroutiAndres Beiras-fernandez

subject

mobile ECLSHeart transplantationendocrine systemmedicine.medical_specialtyRD1-811business.industrymedicine.medical_treatmentheart failureCase Reportremote ECLS implantationmedicine.diseaseGiant left atriumextracorporeal life supportExtracorporealSurgerygiant left atriumHeart failureLife supportMedicineSurgeryIn patientcardiovascular diseasesCardiopulmonary resuscitationbusinessRefractory heart failure

description

AbstractBackgroundRemote extracorporeal life support (ECLS) implantation and mobile ECLS are increasingly applied to enable the treatment of patients with refractory heart failure at specialized care centers. Giant left atrium (GLA) is a rare cause but may lead to acute and devastating heart failure.Case reportAcute heart failure that gave rise to a prolonged period of out-of-hospital cardiopulmonary resuscitation in a patient who underwent remote ECLS implantation was found to have resulted from a GLA of impressive dimensions. There having no reasonable option for immediate surgical therapy, the patient was successfully bridged to recovery with a view to subsequent heart transplantation.ConclusionsThe threshold to rapid institution of ECLS should be low in patients with acute refractory heart failure, including those with uncommon pathologies. Remote ECLS implantation and interhospital transfer on mobile ECLS increase the chances of survival in cases requiring treatment by specialized care centers.

yearjournalcountryeditionlanguage
2018-12-01Innovative Surgical Sciences
https://doi.org/10.1515/iss-2018-0029