TY - JOUR
T1 - Atrial septostomy in cardiogenic shock related to H1N1 infection
AU - Dahdouh, Ziad
AU - Roule, Vincent
AU - Lognone, Thérèse
AU - Sabatier, Rémi
AU - Massetti, Massimo
AU - Grollier, Gilles
PY - 2013
Y1 - 2013
N2 - The circulatory assistance, mainly the extra-corporeal membrane oxygenation (ECMO) restores hemodynamics and serves to limit the myocardial work, in order to avoid left ventricular dilation, high end-diastolic pressures, increased wall stress, subendocardial ischemia and consequently worsening pulmonary congestion and edema. In patients with large myocardial damage, sometimes an additional unloading of the left ventricle is warranted. We report a case of percutaneous blade and balloon atrial septostomy (BAS) as an add-on to the circulatory assistance to unload the left heart in a cardiogenic shock related to H1N1 infection.
AB - The circulatory assistance, mainly the extra-corporeal membrane oxygenation (ECMO) restores hemodynamics and serves to limit the myocardial work, in order to avoid left ventricular dilation, high end-diastolic pressures, increased wall stress, subendocardial ischemia and consequently worsening pulmonary congestion and edema. In patients with large myocardial damage, sometimes an additional unloading of the left ventricle is warranted. We report a case of percutaneous blade and balloon atrial septostomy (BAS) as an add-on to the circulatory assistance to unload the left heart in a cardiogenic shock related to H1N1 infection.
KW - balloon atrial septostomy
KW - left ventricular dilation
KW - balloon atrial septostomy
KW - left ventricular dilation
UR - http://hdl.handle.net/10807/41160
U2 - 10.3109/17482941.2012.760740
DO - 10.3109/17482941.2012.760740
M3 - Article
SN - 1748-2941
VL - 15
SP - 7
EP - 9
JO - Acute Cardiac Care
JF - Acute Cardiac Care
ER -