One Hundred Seven Days of ECMO as a Bridge to Lung Transplantation: The Longest Duration Among Elderly Patients.
10.4266/kjccm.2014.29.1.48
- Author:
Eun Jung KIM
1
;
Hyo Chae PAIK
;
Moo Suk PARK
;
Myung Hwa KIM
;
Shin Ok KOH
;
You Jin LEE
;
Sungwon NA
Author Information
1. Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea. nswksj@yuhs.ac
- Publication Type:Case Report
- Keywords:
extracorporeal membrane oxygenation;
lung transplantation;
respiratory insufficiency
- MeSH:
Aged*;
Extracorporeal Membrane Oxygenation*;
Female;
Humans;
Lung Diseases, Interstitial;
Lung Transplantation*;
Lung*;
Respiratory Insufficiency;
Ventilators, Mechanical
- From:The Korean Journal of Critical Care Medicine
2014;29(1):48-51
- CountryRepublic of Korea
- Language:English
-
Abstract:
Extracorporeal membrane oxygenation (ECMO) is a means for supporting adequate gas exchange in patients with severe respiratory failure and is the only therapeutic option for ventilation-refractory patients awaiting lung transplantation. Moreover, defining the patients likely to benefit from ECMO as a bridge to transplantation has recently become a point of interest. Here, we report a case of prolonged ECMO support to a patient awaiting lung transplantation. A 66-year-old woman was diagnosed with acute interstitial pneumonia and was placed on veno-venous (VV) ECMO due to unsatisfactory gas exchange despite maximal ventilator care. She underwent bilateral lung transplantation after 99 days of ECMO and was successfully weaned from it on the 107th ECMO day. This is the longest period of ECMO support to be reported among elderly patients.