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

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Presentation on theme: "Veno-venous extracorporeal membrane oxygenation with interatrial shunting: A novel approach to lung transplantation for patients in right ventricular."— Presentation transcript:

1 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 e1 (February 2011) DOI: /j.jtcvs Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

2 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  , e1DOI: ( /j.jtcvs ) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

3 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  , e1DOI: ( /j.jtcvs ) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

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

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

6 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  , e1DOI: ( /j.jtcvs ) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

7 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  , e1DOI: ( /j.jtcvs ) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

8 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  , e1DOI: ( /j.jtcvs ) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions


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