North-south syndrome, a complication of circulatory assistance with Veno-Arterial ECMO. A case report

We present the case of a 34-year-old male patient with a history of Marfan syndrome who was admitted to the emergency room for acute aortic regurgitation secondary to aneurysmal dilation of the ascending thoracic aorta. In the postoperative period, post-cardiotomy cardiogenic shock was documented, s...

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Detalles Bibliográficos
Autores: Lazcano-Diaz, Emmanuel Adrián, Hurtado-Belizario, Karla Sue América, Riveros-Nina, Daniel, Pérez-Manjarrez, Aldo, Manzur-Sandoval, Daniel, Baeza-Herrera, Luis, Rojas-Velasco, Gustavo
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:Perú
Institución:Instituto Nacional Cardiovascular
Repositorio:Archivos peruanos de cardiología y cirugía cardiovascular
Idioma:español
inglés
OAI Identifier:oai:apcyccv.org.pe:article/300
Acceso en línea:https://apcyccv.org.pe/index.php/apccc/article/view/300
Access Level:acceso abierto
Palabra clave:Síndrome de Marfan
ECMO Venoarterial
Choque Cardiogénico
Marfan Syndrome
ECMO, venoarterial
Shock, Cardiogenic
Descripción
Sumario:We present the case of a 34-year-old male patient with a history of Marfan syndrome who was admitted to the emergency room for acute aortic regurgitation secondary to aneurysmal dilation of the ascending thoracic aorta. In the postoperative period, post-cardiotomy cardiogenic shock was documented, so circulatory support was initiated with peripheral Veno-Arterial ECMO, which developed hypoxemia due to bacterial pneumonia and data compatible with North-South syndrome. We present a review, non-conventional cannulation strategies and a diagnostic alternative for this entity.