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ECMO Experience in Post-cardiotomy Cardiogenic Shock. Case Presentation

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dc.contributor.author COSPORMAC, Viorica
dc.contributor.author RUSU, Victoria
dc.contributor.author BOTIZATU, Alexandru
dc.contributor.author MAEVSCHI, Vlad
dc.contributor.author USATAYA, Alina
dc.contributor.author MANDRILA, Dan
dc.contributor.author URSU, Natalia
dc.contributor.author CEBAN, Igor
dc.contributor.author GIRBU, Lucia
dc.contributor.author MARGINEAN, Alexandru
dc.contributor.author COJOCARU, Victor
dc.date.accessioned 2023-11-16T11:50:00Z
dc.date.available 2023-11-16T11:50:00Z
dc.date.issued 2023
dc.identifier.citation COSPORMAC, Viorica, RUSU, Victoria, BOTIZATU, Alexandru et al. ECMO Experience in Post-cardiotomy Cardiogenic Shock. Case Presentation. In: 6th International Conference on Nanotechnologies and Biomedical Engineering: proc. of ICNBME-2023, 20–23, 2023, Chisinau, vol. 2: Biomedical Engineering and New Technologies for Diagnosis, Treatment, and Rehabilitation, 2023, p. 489-496. ISBN 978-3-031-42781-7. e-ISBN 978-3-031-42782-4. en_US
dc.identifier.isbn 978-3-031-42781-7
dc.identifier.isbn 978-3-031-42782-4
dc.identifier.uri https://doi.org/10.1007/978-3-031-42782-4_52
dc.identifier.uri http://repository.utm.md/handle/5014/24866
dc.description Acces full text - https://doi.org/10.1007/978-3-031-42782-4_52 en_US
dc.description.abstract Post-cardiotomy cardiogenic shock (PCCS) presents a paramount challenge, with severe and potentially fatal implications, significantly impacting myocardial contractility and peripheral tissue perfusion due to reduced cardiac output. The following report chronicles a clinical case of a patient diagnosed with rheumatic valvulopathy, severe mitral and tricuspid regurgitation, concomitant pump dysfunction of the heart, severe pulmonary hypertension, heart failure, persistent atrial fibrillation, and congestive hepatopathy, among other comorbidities. The case emphasizes the importance of timely diagnosis, intervention, and continued management in patients with complex cardiovascular pathology. The perioperative decision for ECMO support in PCCS remains complex, relying on scientific data as well as individual considerations. ECMO is associated with high mortality and morbidity, reflecting the severity of the underlying disease, and the imperfections of the method, which can lead to hemorrhagic complications, ischemic or thromboembolic events, and multi-organ failure. The purpose of implementing post-cardiotomy ECMO (ECMO-PC) is to maintain systemic oxygen delivery (DO2) three times higher than oxygen consumption (VO2) (DO2:VO2 ratio >3), with the norm being 5, and shock state assessment at 2. Managing a patient on post-cardiotomy ECMO (ECMO-PC) support necessitates heightened attention to the hemostatic system, as both bleeding and thrombosis remain common complications during ECMO. en_US
dc.language.iso en en_US
dc.publisher Springer Nature Switzerland en_US
dc.rights Attribution-NonCommercial-NoDerivs 3.0 United States *
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/3.0/us/ *
dc.subject post-cardiotomy cardiogenic shock en_US
dc.subject extracorporeal membrane oxygenation en_US
dc.title ECMO Experience in Post-cardiotomy Cardiogenic Shock. Case Presentation en_US
dc.type Article en_US


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  • 2023
    6th International Conference on Nanotechnologies and Biomedical Engineering, September 20–23, 2023, Chisinau, Moldova

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Attribution-NonCommercial-NoDerivs 3.0 United States Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivs 3.0 United States

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