ECMO as a Bridge to Reoperative Cardiac Surgery in a Patient with Cardiogenic Shock and Severe Aortic Insufficiency Due to an Acute Aortic Valve Homograft Failure

  • Shinya Unai Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio, USA
  • Vishal Khullar Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio, USA
  • Haythem Elgharably Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio, USA
  • Jose L Navia Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio, USA
Keywords: cardiogenic shock, reoperation, homograft, extracorporeal membrane oxygenation

Abstract

We report a 62-year-old male who had severe aortic insufficiency after a homograft root replacement, requiring venoarterial extracorporeal membrane oxygenation prior to surgery due to profound cardiogenic shock. Severe aortic insufficiency is a contraindication for venoarterial extracorporeal membrane oxygenation, but we were able to stabilize the patient and successfully perform an urgent reoperative surgery.

References

Dainese L, Fusari M, Trabattoni P, et al. 2010. Redo in aortic homograft replacement: transcatheter aortic valve as a valid alternative to surgical replacement. J Thorac Cardiovasc Surg 139:1656-7.

Kilian E, Fries F, Kowert A, et al. 2010. Homograft implantation for aortic valve replacement since 15 years: results and follow-up. Heart Surg Forum 13:E238-42.

Kowert A, Vogt F, Beiras-Fernandez A, et al. 2012. Outcome after homograft redo operation in aortic position. Eur J Cardiothorac Surg 41:404-8.

O’Brien MF, Harrocks S, Stafford EG, et al. 2001. The homograft aortic valve: a 29-year, 99.3% follow up of 1,022 valve replacements. J Heart Valve Dis 10:334-44; discussion 335.

Published
2019-07-02
How to Cite
Unai, S., Khullar, V., Elgharably, H., & Navia, J. (2019). ECMO as a Bridge to Reoperative Cardiac Surgery in a Patient with Cardiogenic Shock and Severe Aortic Insufficiency Due to an Acute Aortic Valve Homograft Failure. The Heart Surgery Forum, 22(4), E281-E282. https://doi.org/10.1532/hsf.1758
Section
Articles