Extracorporeal Membrane Oxygenation as a Bridge between Transfer and Perioperative Periods in Refractory Cardiogenic Shock Secondary to a Large Left Atrial Myxoma

Authors

  • Lijun Tian, MD Department of Critical Care Medicine, Nantong Third People’s Hospital, Nantong University, Nantong, China
  • Suyan Zhang, MD Department of Critical Care Medicine, Nantong Third People’s Hospital, Nantong University, Nantong, China
  • Junxian Xu, MD Department of Critical Care Medicine, Nantong Third People’s Hospital, Nantong University, Nantong, China
  • Xudong Han, MD Department of Critical Care Medicine, Nantong Third People’s Hospital, Nantong University, Nantong, China

DOI:

https://doi.org/10.1532/hsf.3501

Keywords:

atrial myxoma, refractory cardiogenic shock, extracorporeal membrane oxygenation

Abstract

A 63-year-old man was admitted for acute left heart failure after doing farm work. He rapidly developed refractory cardiogenic shock due to a large left atrial myxoma which was found by bedside echocardiography. Venoarteriovenous extracorporeal membrane oxygenation (ECMO) was performed immediately, and the patient was transferred for further surgery with a good outcome. Therefore, timely echocardiographic evaluation and surgical removal of myxomas is recommended, and ECMO could be used as a bridge between the transfer and perioperative period.

References

Ali MU, Finkel J. 2018. Atrial myxoma. N Engl J Med 379:e26.

Deng L, Xia Q, Chi C, et al. 2020. Awake veno-arterial extracorporeal membrane oxygenation in patients with perioperative period acute heart failure in cardiac surgery. J Thorac Dis 12:2179-87.

Guglin M, Zucker MJ, Bazan VM, et al. 2019. Venoarterial ECMO for adults: JACC Scientific Expert Panel. J Am Coll Cardiol 73:698-716.

Layton S, Ripley DP, Bellenger NG. 2013. Left atrial myxoma. BMJ 347:f4430.

Wedin JO, Kristófi R, Ölander CH, et al. 2020. Cardiac arrest after a transatlantic flight in a patient with a large left Atrial myxoma. CASE (Phila) 4:28-32.

Published

2021-03-03

How to Cite

Tian, L., Zhang, S., Xu, J., & Han, X. (2021). Extracorporeal Membrane Oxygenation as a Bridge between Transfer and Perioperative Periods in Refractory Cardiogenic Shock Secondary to a Large Left Atrial Myxoma. The Heart Surgery Forum, 24(2), E215-E216. https://doi.org/10.1532/hsf.3501

Issue

Section

Articles