Veno-venous extracorporeal membrane oxygenation with interatrial shunting: A novel approach to lung transplantation for patients in right ventricular.

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Veno-venous extracorporeal membrane oxygenation with interatrial shunting: A novel approach to lung transplantation for patients in right ventricular failure Daniele Camboni, MD, Begum Akay, MD, Joshua R. Pohlmann, MS, Kelly L. Koch, MS, Jonathan W. Haft, MD, Robert H. Bartlett, MD, Keith E. Cook, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 141, Issue 2, Pages 537-542.e1 (February 2011) DOI: 10.1016/j.jtcvs.2010.08.092 Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 CO at each shunt condition in TI and ØTI groups. CO, Cardiac output; RV, right ventricular; TI, tricuspid insufficiency; ØTI, without tricuspid insufficiency. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 537-542.e1DOI: (10.1016/j.jtcvs.2010.08.092) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Mean RVP at each shunt condition in TI and ØTI groups. RV, Right ventricular; TI, tricuspid insufficiency; RVP, right ventricular pressure. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 537-542.e1DOI: (10.1016/j.jtcvs.2010.08.092) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Arterial blood Po2 and Pco2 for the TI group. RV, Right ventricular. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 537-542.e1DOI: (10.1016/j.jtcvs.2010.08.092) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Arterial blood Po2 and Pco2 for the ØTI group. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 537-542.e1DOI: (10.1016/j.jtcvs.2010.08.092) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Right to left atrial shunting was simulated with a custom-made 31F extracardiac shunt introduced into the atrial appendages. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 537-542.e1DOI: (10.1016/j.jtcvs.2010.08.092) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

QShunt at each shunt condition in TI and ØTI groups QShunt at each shunt condition in TI and ØTI groups. RV, Right ventricular; TI, tricuspid insufficiency; ØTI, without tricuspid insufficiency; QShunt, shunt flow rate. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 537-542.e1DOI: (10.1016/j.jtcvs.2010.08.092) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Typical examples of RVP tracings at each condition Typical examples of RVP tracings at each condition. RV, Right ventricular. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 537-542.e1DOI: (10.1016/j.jtcvs.2010.08.092) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions