Right ventricular rupture and tamponade caused by malposition of the Avalon cannula for venovenous extracorporeal membrane oxygenation.

Authors

Hitoshi Hirose, Thomas Jefferson UniversityFollow
Kentaro Yamane, Thomas Jefferson UniversityFollow
Gregary D. Marhefka, Thomas Jefferson UniversityFollow
Nicholas C. Cavarocchi, Thomas Jefferson UniversityFollow

Document Type

Article

Publication Date

1-1-2012

Comments

This article has been peer reviewed. It was published in Journal of Cardiothoracic Surgery

Volume 7, April 2012, Pages 7-36.

The published version is available at DOI: 10.1186/1749-8090-7-36. Copyright © BioMed Central

Abstract

Placement of the Avalon Elite bicaval dual lumen cannula for venovenous extracorporeal membrane oxygenation (VV-ECMO) via the internal jugular vein requires precise positioning of the cannula tip in the inferior vena cava with echocardiography or fluoroscopy guidance. Correct guidewire placement is clearly the key first step in assuring proper advancement of the cannula. We report a case of unexpected wire migration into the right ventricle at the time of final cannula advancement, resulting in right ventricular rupture and tamponade. Transesophageal echocardiography is an important monitoring modality for appropriate placement of the VV-ECMO guidewire and Avalon cannula, and in particular, for early identification of potential complications.

Recommended Citation

Hirose, Hitoshi; Yamane, Kentaro; Marhefka, Gregary D.; and Cavarocchi, Nicholas C., "Right ventricular rupture and tamponade caused by malposition of the Avalon cannula for venovenous extracorporeal membrane oxygenation." (2012). Department of Surgery Faculty Papers. Paper 73.
https://jdc.jefferson.edu/surgeryfp/73

PubMed ID

22515939