Veno-venous extracorporeal membrane oxygenation for a Stanford type A aortic dissection patient combined with postoperative respiratory failure and COVID-19: A case report
- VernacularTitle:静脉-静脉体外膜肺氧合应用于新型冠状病毒感染合并Stanford A型主动脉夹层并发术后呼吸衰竭一例
- Author:
Hongan SHAO
1
;
Yue YAO
1
;
Bo WANG
1
;
Lu WANG
1
;
Jing HU
1
;
Qingguo LI
1
Author Information
1. Department of Cardiovascular Surgery, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, 210011, P. R. China
- Publication Type:Journal Article
- Keywords:
Aortic dissection;
respiratory failure;
extracorporeal membrane oxygenation;
COVID-19
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2023;30(07):967-969
- CountryChina
- Language:Chinese
-
Abstract:
During the new coronavirus disease 2019 (COVID-19) pandemic, there has been controversy over whether emergency surgical management should be performed or not in the patients with COVID-19. Stanford type A aortic dissection is a very urgent life-threatening disease, and guidelines recommend surgical treatment for patients with type A aortic dissection in the first instance. However, intraoperative extracorporeal circulation can be fatal to patients recovering from COVID-19. During the pandemic, extracorporeal membrane oxygenation (ECMO) has played an important role in supporting COVID-19 patients with acute respiratory failure. This article reports a successful V-V ECMO treatment for a Stanford type A aortic dissection patient, who suffered respiratory failure caused by COVID-19 after emergency surgery.