From Circuit to Scalpel: Managing VV-ECMO Dependence in Emergent Double Valve Repair
Document Type
Conference Proceeding
Publication Date
10-12-2025
Abstract
A 47-year-old male with history of hypertension presented in acute hypoxic respiratory failure, unresponsive to BiPAP, requiring intubation and initiation of venovenous extracorporeal membrane oxygenation (VV-ECMO). Echocardiography revealed severe mitral and aortic regurgitation, prompting urgent surgical intervention. Ongoing ECMO dependence necessitated a careful transition to cardiopulmonary bypass involving rapid circuit clamping and reconfiguration to maintain oxygenation and flow. Following successful valve replacement, the patient was transitioned back to VV-ECMO, with attention to flow dynamics, anticoagulation, and circuit integrity. This case highlights the multidisciplinary strategies for cannulation and anesthetic management in patients with severe pulmonary dysfunction undergoing cardiac surgery.
Recommended Citation
McClune M, Jahshan-Abdalla A, Davis H. From circuit to scalpel: managing VV-ECMO dependence in emergent double valve repair. Presented at: American Society of Anesthesiologists, The Anesthesiology Annual Meeting; 2025 Oct 12; San Antonio, TX. Available from:https://www.abstractsonline.com/pp8/#!/21028/presentation/8671
Comments
American Society of Anesthesiologists, The Anesthesiology Annual Meeting, October 10-14, 2025, San Antonio, TX