Rescue Veno-Arterial Extracorporeal Membrane Oxygenation and Impella Support of Left Ventricle as a Bridge to Surgery in a Patient with Retrosternal Goiter
Yousef AlEid, Essa AlGhunaim, Hussain AlShimali, Abdullah AlElewah, Derar AlShehab
Asian Journal of Case Reports in Surgery · pp. 256–260 · Published 29 Jul 2022
Abstract
Surgical management of anterior mediastinal masses (AMM) compressing major airways and vascular structures is challenging. Careful planning for surgical resection and expecting potential complications can be life saving for the patient. Venoarterial cxtracorporeal membrane oxygenation (VA ECMO) has been used as a bridging strategy to removal of a large compressing mass. We are reporting our experience with a case that required Impella placement in addition to VA ECMO duo to severe ventricular dysfunction.
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