Traumatic injury to the aortic valve is an uncommon clinical entity. Rarer still is the transport of such a patient using extracorporeal membrane oxygenation (ECMO) to a specialized ECMO center for definitive repair. We present a case of traumatic rupture of the aortic valve complicated by severe acute respiratory distress syndrome with interhospital transport using ECMO and subsequent aortic valve replacement.
From the *Department of General Surgery, Columbia University Medical Center, New York, NY; †Department of Pulmonary, Allergy, and Critical Care Medicine, New York Presbyterian Hospital/Columbia University Medical Center, New York, NY; and ‡Department of Cardiothoracic Surgery, New York Presbyterian Hospital/Columbia University Medical Center, New York, NY.
Submitted for consideration December 2013; accepted for publication in revised form February 2014.
Disclosures: Dr. Bacchetta has consulted for Maquet Inc., a nonremuneration agreement. Dr. Brodie reports receiving research support from Maquet Cardiovascular including travel expenses for research meetings, as well as anticipated support for upcoming studies and compensation paid to Columbia University for research consulting. He receives no direct compensation from Maquet. He is a member of the Medical Advisory Board for ALung Technologies. Compensation is paid to Columbia University; he receives no direct compensation from ALung Technologies. Dr. Brodie anticipates joining the Medical Advisory Board of Gambro with compensation to be paid exclusively to Columbia University.
Reprint Requests: Matthew Bacchetta, MD, Columbia University Medical Center, Admitting Department 1st floor, 177 Fort Washington Ave., New York, NY 10032. Email: firstname.lastname@example.org.