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Case Reports
. 2019 Mar;107(3):e227-e228.
doi: 10.1016/j.athoracsur.2018.07.084. Epub 2018 Sep 29.

Left Atrial Decompression by Minithoracotomy During Extracorporeal Life Support

Mayuko Yamamoto  1 , Yoshihiro Oshima  2 , Hironori Matsuhisa  2 , Tomonori Higuma  2 , Ryuma Iwaki  2 , Shunsuke Matsushima  2 , Yu Murakami  2
Affiliations
Case Reports

Left Atrial Decompression by Minithoracotomy During Extracorporeal Life Support

Mayuko Yamamoto et al. Ann Thorac Surg. 2019 Mar.

Abstract

Extracorporeal membrane oxygenation through cervical cannulation is an established option for pediatric patients with acute cardiopulmonary failure. However, left-sided heart decompression is sometimes mandatory in patients with severe left ventricular dysfunction. This report describes a fast and less invasive technique for placing a left atrial cannula through a left anterior minithoracotomy approach. In 4 critically ill children, this minimally invasive technique provided satisfactory left-sided heart decompression, and this report describes a representative case.

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