ABC Heart Fail Cardiomyop 2022; 2(2): 229-231
VA-ECMO in Cardiogenic Shock as a Bridge to Heart Transplantation
Renato Bueno Chaves
, Marcelo Botelho Ulhoa
, Milla Carolina Costa Lafetá Araújo
Introduction
The use of venoarterial extracorporeal membrane oxygenation (VA-ECMO) in cardiogenic shock as a direct bridge to heart transplantation is highly controversial. Most hospitals only use VA-ECMO as a bridge to decision, recovery, or other long-lasting devices.–
We report a successful case of VA-ECMO as a bridge to urgent heart transplantation in a patient in INTERMACS I cardiogenic shock. There was complete recovery of tissue oxygen and renal and liver functions, allowing for heart transplant in a patient with overall improved organ functions. In selected cases, VA-ECMO is a relatively low-cost alternative to mechanical circulatory support that could be more easily implemented in Brazilian hospitals.
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Keywords: Cardiogenic Shock; ECMO; Transplant
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