El síndrome de norte-sur, una complicación de la asistencia circulatoria con ECMO Venoarterial. Reporte de caso

Emmanuel Adrián Lazcano-Diaz; Karla Sue América Hurtado-Belizario; Daniel Riveros-Nina; Aldo Pérez-Manjarrez; Daniel Manzur-Sandoval; Luis Baeza-Herrera; Gustavo Rojas-Velasco

doi:10.47487/apcyccv.v4i3.300

Authors

Emmanuel Adrián Lazcano-Diaz Terapia Intensiva cardiovascular, Instituto Nacional de Cardiología «Ignacio Chávez», Ciudad de México, México. https://orcid.org/0000-0003-3166-2720
Karla Sue América Hurtado-Belizario Terapia Intensiva cardiovascular, Instituto Nacional de Cardiología «Ignacio Chávez», Ciudad de México, México. https://orcid.org/0000-0001-6981-6540
Daniel Riveros-Nina Terapia Intensiva cardiovascular, Instituto Nacional de Cardiología «Ignacio Chávez», Ciudad de México, México. https://orcid.org/0000-0002-2113-6949
Aldo Pérez-Manjarrez Terapia Intensiva cardiovascular, Instituto Nacional de Cardiología «Ignacio Chávez», Ciudad de México, México. https://orcid.org/0000-0001-6081-8523
Daniel Manzur-Sandoval Terapia Intensiva cardiovascular, Instituto Nacional de Cardiología «Ignacio Chávez», Ciudad de México, México. https://orcid.org/0000-0002-2374-0381
Luis Baeza-Herrera Terapia Intensiva cardiovascular, Instituto Nacional de Cardiología «Ignacio Chávez», Ciudad de México, México. https://orcid.org/0000-0002-5354-2992
Gustavo Rojas-Velasco Terapia Intensiva cardiovascular, Instituto Nacional de Cardiología «Ignacio Chávez», Ciudad de México, México. https://orcid.org/0000-0001-7416-1833

DOI:

https://doi.org/10.47487/apcyccv.v4i3.300

Keywords:

Marfan Syndrome, ECMO, venoarterial, Shock, Cardiogenic

Abstract

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.

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References

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