Rescue Veno-Arterial Extracorporeal Membrane Oxygenation and Impella Support of Left Ventricle as a Bridge to Surgery in a Patient with Retrosternal Goiter
Published: 2022-07-29
Page: 256-260
Issue: 2022 - Volume 5 [Issue 1]
Yousef AlEid
Thoracic and Foregut Department, Chest Diseases Hospital, Kuwait.
Essa AlGhunaim
Thoracic and Foregut Department, Chest Diseases Hospital, Kuwait.
Hussain AlShimali *
Thoracic and Cardiac Surgery Department, Brigham and Women’s Hospital, USA.
Abdullah AlElewah
Thoracic and Foregut Department, Chest Diseases Hospital, Kuwait.
Derar AlShehab
Thoracic and Foregut Department, Chest Diseases Hospital, Kuwait.
*Author to whom correspondence should be addressed.
Abstract
Surgical management of anterior mediastinal masses (AMM) compressing major airways and vascular structures is challenging. Careful planning for surgical resection and expecting potential complications can be life saving for the patient. Venoarterial cxtracorporeal membrane oxygenation (VA ECMO) has been used as a bridging strategy to removal of a large compressing mass. We are reporting our experience with a case that required Impella placement in addition to VA ECMO duo to severe ventricular dysfunction.
Keywords: ECMO, Retrosternal goiter, split-sternum thyroidectomy