Extracorporeal Membrane Oxygenation as a Bridge to Surgery for Infective Endocarditis Complicated by Aorto-Atrial Fistula and Cardiopulmonary Collapse

The timing of surgery for active infective endocarditis is challenging when patients exhibit mechanical dysfunction and hemodynamic compromise. Extracorporeal membrane oxygenation has been described in treating sepsis but not, insofar as we know, in treating the acute mechanical sequelae that arise...

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Bibliographic Details
Published in:Texas Heart Institute journal 2015-10, Vol.42 (5), p.471-473
Main Authors: Noyes, Adam M, Ramu, Bhavadharini, Parker, Matthew W, Underhill, David, Gluck, Jason A
Format: Article
Language:English
Subjects:
Adult
Anti-Bacterial Agents - therapeutic use
Aortic Diseases - diagnosis
Aortic Diseases - microbiology
Aortic Diseases - physiopathology
Aortic Diseases - therapy
Cardiopulmonary Bypass
Case Reports
Debridement
Echocardiography, Doppler, Color
Echocardiography, Transesophageal
Endocarditis, Bacterial - diagnosis
Endocarditis, Bacterial - microbiology
Endocarditis, Bacterial - therapy
Extracorporeal Membrane Oxygenation
Heart Diseases - diagnosis
Heart Diseases - microbiology
Heart Diseases - physiopathology
Heart Diseases - therapy
Heart Valve Prosthesis Implantation
Hemodynamics
Humans
Male
Mitral Valve Annuloplasty
Shock - diagnosis
Shock - microbiology
Shock - physiopathology
Shock - therapy
Streptococcal Infections - diagnosis
Streptococcal Infections - microbiology
Streptococcal Infections - therapy
Substance Abuse, Intravenous - complications
Time Factors
Treatment Outcome
Vascular Fistula - diagnosis
Vascular Fistula - microbiology
Vascular Fistula - physiopathology
Vascular Fistula - therapy
Viridans Streptococci - isolation & purification
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Summary:The timing of surgery for active infective endocarditis is challenging when patients exhibit mechanical dysfunction and hemodynamic compromise. Extracorporeal membrane oxygenation has been described in treating sepsis but not, insofar as we know, in treating the acute mechanical sequelae that arise from infective endocarditis. We report perhaps the first case that shows the usefulness of extracorporeal membrane oxygenation as a bridge to definitive treatment in a 35-year-old man who had infective endocarditis followed by aorto-atrial fistula and cardiopulmonary collapse.
ISSN:0730-2347
1526-6702
DOI:10.14503/THIJ-14-4575