Extracorporeal Membrane Oxygenation Used in a Massive Lung Bleeding Following Pulmonary Endarterectomy

Extracorporeal Membrane Oxygenation Used in a Massive Lung Bleeding Following Pulmonary Endarterectomy

The authors present a case of massive lung bleeding following pulmonary endarterectomy (PEA) that was treated with peripheral veno-venous extracorporeal membrane oxygenation (VV ECMO). The patient repeatedly underwent bronchoscopy for airway blood clot obstruction and finally was successfully weaned...

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Bibliographic Details
Main Authors: Ivana Kolníková, J. Kunstýř, J. Lindner, M. Lipš, P. Kopecký, J. Rulíšek, J. Bělohlávek, M. Balík
Format: Article
Language:English
Published: Karolinum Press 2012-01-01
Series:Prague Medical Report
Subjects:
Pulmonary endarterectomy
Massive lung bleeding
Venovenous extracorporeal membrane oxygenation
Fibreoptic bronchoscopy
Transoesophageal echocardiography
Online Access:https://pmr.lf1.cuni.cz/113/4/0299/
Description
Summary:The authors present a case of massive lung bleeding following pulmonary endarterectomy (PEA) that was treated with peripheral veno-venous extracorporeal membrane oxygenation (VV ECMO). The patient repeatedly underwent bronchoscopy for airway blood clot obstruction and finally was successfully weaned off the support. The authors discuss the indications for ECMO in treatment of the most serious complications following PEA, and emphasize the importance of echocardiographic evaluation of the right ventricular function in relation to the indicated type of extracorporeal support. Anticoagulation strategy for patients shortly after the major surgery connected to ECMO is also discussed.
ISSN:1214-6994
2336-2936

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