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- Title
Management of a young patient with dextrocardia, atrial septal defect, and Eisenmenger syndrome with venous-venous extracorporeal membrane oxygenation and heart-lung transplantation.
- Authors
Rajab, Taufiek Konrad; Kim, Taehoon; Keller, Steven; Mallidi, Hari
- Abstract
Dextrocardia is a rare congenital condition which presents important challenges for surgical management. We discuss a patient with dextrocardia, atrial septal defect, and Eisenmenger syndrome, which ultimately led to decompensated end-stage lung disease and heart-lung transplant. Venous-venous extracorporeal membrane oxygenation was an important strategy to bridge the patient until donor organs became available. Transplantation of a heart-lung block allowed for the treatment of the patient's underlying congenital heart defect, anatomic reversal of dextrocardia with appropriate venous and arterial connections, and management of pulmonary damage from pulmonary hypertension.
- Subjects
ATRIAL septal defects; EISENMENGER syndrome; EXTRACORPOREAL membrane oxygenation; CONGENITAL heart disease; PULMONARY hypertension; HEART abnormality diagnosis; CARDIOPULMONARY system; CHEST X rays; COMPUTED tomography; HEART abnormalities; TRANSPLANTATION of organs, tissues, etc.; MULTIPLE human abnormalities
- Publication
Journal of Cardiac Surgery, 2019, Vol 34, Issue 10, p1114
- ISSN
0886-0440
- Publication type
case study
- DOI
10.1111/jocs.14168