Some patients experience a sudden deterioration in heart or lung function so that the heart can no longer pump enough blood to the vital organs or the lungs cannot properly add oxygen to the blood. This serious condition may be caused by:
● Massive heart attack
● Viral and bacterial infection of the heart muscle (cardiomyopathy)
● Inflammatory disorder
Weill Cornell Medicine’s state-of-the-art surgical treatment options
The surgeons at Weill Cornell Medicine’s Department of Cardiothoracic Surgery offer exceptional care to patients with advanced heart or lung deterioration.
The extracorporeal membrane oxygenation (ECMO) is a group of devices that provide extracorporeal life support to the entire body so that the heart and lungs can heal and strengthen.
These devices help take the oxygen-poor blood form the venous system of the body, infuse the blood with oxygen, and pump the oxygenated blood to the body and vital organs. The heart and lungs are kept in a resting state.
The ECMO devices (circuit) consists of a:
● Pump that powers the circuit by pulling blood from the venous side and pushing it into the patient’s arterial circulation.
● Tubing that connects the pump to the body. One tube carries the dark venous blood from the veins to the pump. A second tube carries the bright red oxygenated blood back to the body.
● Oxygenator that saturates the blood with oxygen molecules, which are needed for the body to function properly.
● Electronic control system that allows specialists to monitor and adjust the speed of the pump and the amount of blood flowing through it.
Weill Cornell Medicine’s ECMO patients benefit from:
● Our record of excellent outcomes
● Our surgical team works with each patient to develop an individualized, comprehensive treatment plan
● Access to world-class imaging technology for the most accurate diagnosis possible
● Collaboration among a wide range of specialists, which ensures the best possible recovery
We recommend visiting the Weill Cornell Medicine Cardiothoracic Department website, as well as the American Heart Association.
Once you and your care team decide that surgery is the best treatment plan for your condition, you will schedule a pre-surgical appointment, which takes place at M404.
During your pre-surgical appointment:
Your nurse practitioner will explain what you can expect for your specific surgery and hospital stay
Your nurse practitioner will review your current medications
You will sign a consent form for the surgery and potential blood transfusion (Please note: Most patients do not receive blood transfusions during surgery, but we are required to have you sign this consent form, just in case you do need a transfusion and are not awake at the time to give your consent. ALL blood is stringently tested for HIV, hepatitis, and cytomegalovirus.)
You have the opportunity to ask questions
You will receive a small bottle of antibacterial soap
This process generally takes two to three hours.
You will be given instructions as to which medications you should stop taking to prepare for surgery.
On the night before your surgery, shower using half of the bottle of antibacterial soap. On the morning of the surgery, before you come to the hospital, shower using the rest of the soap.
Do not eat or drink after midnight the night before your surgery. You may take your medications that the nurse practitioner approved you to take the morning of surgery, with just a small sip of water.
Parking is available in front of the 68th Street circular entrance to the hospital. There are also several parking garages in the immediate area.
Parking is only validated on the day of your hospital discharge, not on the day of your pre-surgical appointment.
Please be sure to bring you:
Insurance card(s)
Toiletries
Pajamas, robe, and slippers
Generally try not to bring too much to the hospital, because you probably won't use a lot of these things and will just have to carry them home.
Please do not bring any jewelry or expensive electronics with you for the first hospital day. Your family and friends are welcome to bring those items once you are awake and in your room.
Please check in at Greenberg 3-West (Same-Day Surgery Unit), which is on the third floor of the Greenberg Pavilion, using the "G" elevators.
If you are the first case, please check in at 6 AM. If you are the second case, please check in at 10 AM.
The usual length of the actual cardiac surgery is about three and a half to four hours. However, the total length of time your family member will spend in the operating room is longer. Much of that "extra time" is spent preparing you for surgery and getting you ready to go to the recovery room (PACU) or ICU following surgery.
During your surgery, your family and friends should wait in the Ronald O. Perelman Heart Institute Atrium. Please tell them to check in at the front desk so that they can be contacted when your surgeon calls.
If the Ronald O. Perelman Heart Institute Atrium is closed at the time of your surgery, your family and friends may wait in the smaller waiting area right outside the Cardiothoracic ICU (4-West).
There is also a café on the first floor of the hospital, directly opposite the information desk and down the hall from the front door on the left, which is open at all times. This café sells coffee, tea, and a variety of food.
Please download our extensive Guide to Surgery.
Please see Insurance Questions or call (212) 746-5161.