Extracorporeal membrane oxygenation support for abdominal aortic aneurysms surgery in high-risk patients

• Published in: Interactive cardiovascular and thoracic surgery Vol. 14; no. 2; pp. 215 - 216
• Main Authors: Abouliatim, Issam, Paramythiotis, Andreas, Harmouche, Majid, Ternisien, Elisabeth, Verhoye, Jean-Philippe
• Format: Journal Article
• Language: English
• Published: England Oxford University Press (OUP) 01-02-2012; Oxford University Press
• Subjects: Aged; Aged, 80 and over; Aortic Aneurysm, Abdominal; Aortic Aneurysm, Abdominal - diagnosis; Aortic Aneurysm, Abdominal - physiopathology; Aortic Aneurysm, Abdominal - surgery; Bioengineering; Blood Vessel Prosthesis Implantation; Blood Vessel Prosthesis Implantation - adverse effects; Brief Communication; Cardiology and cardiovascular system; Extracorporeal Membrane Oxygenation; Heart Diseases; Heart Diseases - complications; Heart Diseases - physiopathology; Hemodynamics; Human health and pathology; Humans; Life Sciences; Male; Risk Factors; Stroke Volume; Treatment Outcome; Ventricular Function, Left; Great vessels; Aneurysm; Extracorporeal circulation
• ISSN: 1569-9293; 1569-9285
• DOI: 10.1093/icvts/ivr031

Surgical treatment of an abdominal aortic aneurysm in patients with a heart disease is risky. Aortic cross-clamping is featured by important consequences on cardiac, renal and gastrointestinal functions. Endovascular aortic repair is considered to be the gold standard in patients with severe comorbidities. However, in the case of unsuccessful endovascular treatment, surgery can be reconsidered with the use of extracorporeal membrane oxygenation, which seems to be a new tool for the management of cardiac and gastrointestinal events ensuring better post-operative outcomes.