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Successful Extracorporeal Membrane Oxygenation for Right Heart Failure After Heart Transplantation-2 Case Reports and Literature Review

Authors
Jung, J. S.Son, H. S.Lee, S. H.Lee, K. H.Son, K. H.Sun, K.
Issue Date
10월-2013
Publisher
ELSEVIER SCIENCE INC
Citation
TRANSPLANTATION PROCEEDINGS, v.45, no.8, pp.3147 - 3149
Indexed
SCIE
SCOPUS
Journal Title
TRANSPLANTATION PROCEEDINGS
Volume
45
Number
8
Start Page
3147
End Page
3149
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/101937
DOI
10.1016/j.transproceed.2013.08.034
ISSN
0041-1345
Abstract
After heart transplantation (HT), transient right heart failure (RHF) is common. If it does not improve with appropriate medical therapy, we must consider mechanical support. Recently, extracorporeal membrane oxygenation (ECMO) has shown better results than a right ventricular assist device or retransplantation. Two HT patients with hypertrophic cardiomyopathy had cold ischemic times beyond >240 minutes. After HT, their right heart function worsened and was unresponsive to medical therapy. After our application of ECMO, weaning was successful and the patients were discharged without complication. Early application of ECMO for RHF after HT is a good option.
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