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.
Bibliographical notePublisher Copyright:
© 2015 by the Texas Heart ® Institute, Houston.
- Aortic valve insufficiency/etiology/surgery
- Endocarditis, bacterial/complications/surgery
- Extracorporeal membrane oxygenation/trends
- Heart valve diseases/complications
- Infective endocarditis
- Shock, cardiogenic/therapy
- Shock, septic
- Substance abuse, intravenous/complications