Dual Extracorporeal Membrane Oxygenation Support for Bridging Lung Transplantation in Acute Exacerbation of Idiopathic Pulmonary Fibrosis.
10.4266/kjccm.2014.29.3.207
- Author:
Dong Jung KIM
1
;
Yeon Joo LEE
;
Jun Sung KIM
;
Sangheon PARK
;
Young Jae CHO
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
- Publication Type:Case Report
- Keywords:
extracorporeal membrane oxygenation;
lung transplantation;
right ventricular dysfunction
- MeSH:
Extracorporeal Membrane Oxygenation*;
Heart-Lung Transplantation;
Humans;
Hypertension, Pulmonary;
Idiopathic Pulmonary Fibrosis*;
Lung Transplantation*;
Middle Aged;
Respiratory Insufficiency;
Ventricular Dysfunction, Right
- From:The Korean Journal of Critical Care Medicine
2014;29(3):207-211
- CountryRepublic of Korea
- Language:English
-
Abstract:
When patients with severe respiratory failure are treated with venovenous extracorporeal membrane oxygenation (VV-ECMO), severe pulmonary hypertension due to right ventricular (RV) failure is possible. This is a serious complication that requires immediate therapeutic intervention. We report an extraordinary experience of additional venoarterial extracorporeal membrane oxygenation (VA-ECMO) support for RV failure in a patient who was being treated with VV-ECMO as a bridge to lung transplantation. A 61-year-old man was diagnosed with acute exacerbation of idiopathic pulmonary fibrosis. While waiting for lung transplantation, he was placed on VV-ECMO and developed RV failure. After insertion of additional VA ECMO, RV dysfunction was dramatically improved. He underwent heart-lung transplantation after 23 days of dual ECMO support.
