Case Studies
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Journal of Structural Heart Disease, December 2018, Volume 4, Issue 6:251-253
DOI: 10.12945/j.jshd.2019.004.18
Closure of Patent Foramen Ovale via Veno-Venous Extra-Corporeal Membrane Oxygenation Circuit for Refractory Hypoxia
Sandeep M. Patel, MD1, Jerry J. Lipinski, BS2*, Basar Sareyyupoglu, MD3, Guilherme F. Attizzani, MD4, Hiram G. Bezerra, MD, PhD4
1 Interventional Cardiology, The Heart Specialists of St. Rita’s, St. Rita’s Medical Center, Mercy Health, Lima, Ohio, United States
2 School of Medicine, Case Western Reserve University, Cleveland, Ohio, United States
3 The Department of Cardiothoracic Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio, United States
4 The Valve & Structural Heart Disease Intervention Center, Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio, United States
Abstract
Patent foramen ovale (PFO) are typically benign anatomical variants that produce no harm. PFO closure is typically done in an attempt to reduce the rate of cryptogenic stroke, but may also be useful in cases of refractory hypoxemia due to significant shunting. However, the cannulation of the bilateral venous femoral system with a veno-venous extra-corporeal membrane oxygenation (VV-ECMO) circuit provided a challenge in regard to access site for percutaneous PFO closure. Here, we report the first case of PFO closure using an active VV-ECMO circuit in a patient with refractory hypoxemia.
Cite this article as: Patel SM, Lipinski JJ, Sareyyupoglu B, Attizzani GF, Bezerra HG. Closure of Patent Foramen Ovale via Veno-Venous Extra-Corporeal Membrane Oxygenation Circuit for Refractory Hypoxia. Structural Heart Disease 2018;4(6):251-253. DOI: 10.12945/j.jshd.2019.004.18
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Case Studies
Journal of Structural Heart Disease, December 2018, Volume 4, Issue 6:251-253
DOI: 10.12945/j.jshd.2019.004.18
Closure of Patent Foramen Ovale via Veno-Venous Extra-Corporeal Membrane Oxygenation Circuit for Refractory Hypoxia
Sandeep M. Patel, MD1, Jerry J. Lipinski, BS2*, Basar Sareyyupoglu, MD3, Guilherme F. Attizzani, MD4, Hiram G. Bezerra, MD, PhD4
1 Interventional Cardiology, The Heart Specialists of St. Rita’s, St. Rita’s Medical Center, Mercy Health, Lima, Ohio, United States
2 School of Medicine, Case Western Reserve University, Cleveland, Ohio, United States
3 The Department of Cardiothoracic Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio, United States
4 The Valve & Structural Heart Disease Intervention Center, Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio, United States
Abstract
Patent foramen ovale (PFO) are typically benign anatomical variants that produce no harm. PFO closure is typically done in an attempt to reduce the rate of cryptogenic stroke, but may also be useful in cases of refractory hypoxemia due to significant shunting. However, the cannulation of the bilateral venous femoral system with a veno-venous extra-corporeal membrane oxygenation (VV-ECMO) circuit provided a challenge in regard to access site for percutaneous PFO closure. Here, we report the first case of PFO closure using an active VV-ECMO circuit in a patient with refractory hypoxemia.
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Cite this article as: Patel SM, Lipinski JJ, Sareyyupoglu B, Attizzani GF, Bezerra HG. Closure of Patent Foramen Ovale via Veno-Venous Extra-Corporeal Membrane Oxygenation Circuit for Refractory Hypoxia. Structural Heart Disease 2018;4(6):251-253. DOI: 10.12945/j.jshd.2019.004.18
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