Extracorporeal membrane oxygenation as a bridge for heart transplantation by Chagas cardiomyopathy
Main Article Content
Keywords
Chagas Disease, Heart Transplantation, Extracorporeal Membrane Oxygenation
Abstract
Background: Extracorporeal membrane oxygenation is a technique indicated in cases of severe respiratory failure or in situations where pump failure or heart failure is refractory to conventional medical treatment. Our goal was to describe the results of a patient with chronic Chagas dilated cardiomyopathy treated with extracorporeal membrane oxygenation as bridging therapy for heart transplantation.
Case report: A 62-year old male with a history of Chagas disease and severe ventricular failure who underwent veno-arterial extracorporeal membrane oxygenation as bridging therapy for heart transplantation, with good clinical evolution.
Conclusion: Extracorporeal membrane oxygenation is a temporary, viable, safe and effective alternative for patients with severe heart failure refractory to treatment who will undergo transplantation.
References
Hessel EA. History of cardiopulmonary bypass (CPB). Best Pract Res Clin Anaesthesiol. 2015;29(2):99-111.
La historia del ECMO (Internet). 2011 (Citado 07 de octubre de 2016):Disponible en: https://www.nicklauschildrens.org/medical-services/pediatric-critical-care-medicine/extra-corporeal-membrane-oxygenation/history-of-ecmo?lang=es-CO
Hamid IA, Hariharan AS, Ravi Shankar NR. The advent of ECMO and pumpless extracorporeal lung assist in ARDS. J Emerg Trauma Shock. 2011;4(2):244-250.
Banfi C, Pozzi M, Brunner ME, Rigamonti F, Murith N, Mugnai D, et al. Veno-arterial extracorporeal membrane oxygenation: an overview of different cannulation techniques. J Thorac Dis. 2016;8(9):E875-E885. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5059274/
Banach M, Soukup J, Bucher M, Andres J. High frequency oscillation, extracorporeal membrane oxygenation and pumpless arteriovenous lung assist in the management of severe ARDS. Anaesthesiology Intensive Therapy. 2010;4:201-205.
Marasco SF, Lukas G, McDonald M, McMillan J, Ihle B. Review of ECMO (extra corporeal membrane oxygenation) support in critically ill adult patients. Heart Lung Circ. 2008;17:S41-7.
Lawler PR, Silver DA, Scirica BM, Couper GS, Weinhouse GL, Camp PC. Extracorporeal membrane oxygenation in adults with cardiogenic shock. Circulation. 2015;131(7):676-80.
Napp LC, Kühn C, Bauersachs J. ECMO in cardiac arrest and cardiogenic shock. Herz. 2017;42:27-44.
Abrams D, Combes A, Brodie D. Extracorporeal membrane oxygenation in cardiopulmonary disease in adults. J Am Coll Cardiol. 2014;63:2769-78.
Ruzza A, Czer LS, De Robertis M, Luthringer D, Moriguchi J, Kobashigawa J, et al. Total Artificial Heart as Bridge to Heart Transplantation in Chagas Cardiomyopathy: Case Report. Transplant Proc. 2016;48:279-81.
Romano J, Dufur M, Monedero P. Oxigenación extracorpórea en un síndrome de distrés respiratorio agudo tras trasplante hepático. Rev Esp Anestesiol Reanim. 2011;58:174-177.
Extracorporeal Life Support Organization (ELSO) Guidelines for Adult Cardiac Failure (Internet). 2013 (Citado 23 de noviembre de 2016): Disponible en: http://www.elso.org/portals/0/igd/archive/filemanager/e76ef78eabcusersshyerdocumentselsoguidelinesforadultcardiacfailure1.3.pdf
Lindstrom SJ, Pellegrino VA, Butt WW. Extracorporeal membrane oxygenation. Med J Aust. 2009;191:178-82.
Lozano-Kasten F, Soto-Gutiérrez M, Magallón-Gastélum M, Kasten-Monges M, Hinojosa-Alarcón F, Peregrina-Lucano AA. El trasplante cardiaco por enfermedad de Chagas en México. Rev Biomed. 2015;26:41-45.
Dobles-Ramírez C, Salas-Segura DA. Oxigenación por membrana extracorpórea (ECMO), primer caso en Costa Rica. Acta Med Costarric. 2014;56(4):177-9.