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Journal of Cardiovascular Medicine and Surgery 12(2):p 69-72, May-August 2026. | DOI: https://doi.org/10.21088/jcms.2454.7123.12226.5
Case Report
The Role of ECMO in High-Risk Cardiac Surgery: A Case Report
Jaytesh Parashar, Ganesh Shivnani, Shivansh Dutt
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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
Journal of Cardiovascular Medicine and Surgery 12(2):p 69-72, May-August 2026. | DOI: https://doi.org/10.21088/jcms.2454.7123.12226.5
How Cite This Article:
Jaytesh Parashar, Ganesh Shivnani, Shivansh Dutt. The Role of ECMO in High-Risk Cardiac Surgery: A Case Report. Indian J Cardiovasc Med Surg.2026;12(2): 69–72.Timeline
Received : June 19, 2026
Accepted : July 22, 2026
Published : August 30, 2026
Abstract
Background: Refractory cardiogenic shock patients requiring urgent surgical intervention carry very high operative mortality risk. Intermediary measures aimed at reducing this high operative risk can give them an opportunity for successful outcome of surgery. In the absence of any specific guidelines in such critical scenarios, timely intervention is crucial. We present a case of severe aortic stenosis with cardiogenic shock, which demanded a surgical aortic valve replacement but was considered a very high risk if operated immediately. Methods: To alleviate the risk, patient was first managed with preoperative extracorporeal membrane oxygenation (ECMO) support and after stabilization proceeded to the required definitive surgical procedure. Results: The operative risk was substantially reduced with ECMO support which was also used for recovery from post cardiotomy shock. Conclusions: Patients with a need for surgery presenting in cardiogenic shock are sometimes categorized as inoperable. In these cases, ECMO support before surgery buys time for decision making and planning further courses of action. ECMO support rescued our patient from a critical inoperable state and helped navigate him to the required surgical management with acceptable risk thus giving a chance at better recovery.
References
- 1. Combes A, Price S, Slutsky AS, Brodie D: Temporary circulatory support for cardiogenic shock. The Lancet. 2020, 396:199–212. 10.1016/ S0140-6736(20)31047-3
- 2. Abuharb MYI, Ran D, Jubing Z, et al.: Surgical outcomes in cardiogenic shock patients with preoperative extracorporeal membrane oxygenation (ECMO). J Cardiothorac Surg. 2021, 16:214. 10.1186/s13019-021-01542-7
- 3. Nair RM, Chawla S, Abdelghaffar B, et al.: Comparison of Contemporary Treatment Strategies in Patients With Cardiogenic Shock Due to Severe Aortic Stenosis. J Am Heart Assoc. 2024, 13:e033601. 10.1161/ JAHA.123.033601
- 4. Cheng R, Hachamovitch R, Kittleson M, et al.: Complications of Extracorporeal Membrane Oxygenation for Treatment of Cardiogenic Shock and Cardiac Arrest: A Meta-Analysis of 1,866 Adult Patients. Ann Thorac Surg. 2014, 97:610–6. 10.1016/j.athoracsur.2013.09.008
- 5. Paden ML, Conrad SA, Rycus PT, Thiagarajan RR, Registry on B of the E: Extracorporeal Life Support Organization Registry Report 2012. ASAIO J. 2013, 59:202. 10.1097/ MAT.0b013e3182904a52
Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
No conflicts of interest in this work.
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Cite this article
Jaytesh Parashar, Ganesh Shivnani, Shivansh Dutt. The Role of ECMO in High-Risk Cardiac Surgery: A Case Report. Indian J Cardiovasc Med Surg.2026;12(2): 69–72.
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
| Received | Accepted | Published |
|---|---|---|
| June 19, 2026 | July 22, 2026 | August 30, 2026 |
DOI: https://doi.org/10.21088/jcms.2454.7123.12226.5
Keywords
Extracorporeal Membrane OxygenationECMOCardiogenic ShockAortic Stenosis.Search for Similar Articles
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Timeline
| Received | June 19, 2026 |
| Accepted | July 22, 2026 |
| Published | August 30, 2026 |
licence
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
