Right Heart Failure during Veno-Venous Extracorporeal Membrane Oxygenation for H1N1 Induced Acute Respiratory Distress Syndrome: Case Report and Literature Review
A 38-year-old male was admitted with symptoms of upper respiratory infection. Despite medical treatment, his symptoms of dyspnea and anxiety became aggravated, and bilateral lung infiltration was noted on radiological imaging studies. His hypoxemia failed to improve even after the application of e...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society for Thoracic and Cardiovascular Surgery
2015-08-01
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| Series: | Korean Journal of Thoracic and Cardiovascular Surgery |
| Subjects: | |
| Online Access: | http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2015.48.4.289 |
| Summary: | A 38-year-old male was admitted with symptoms of upper respiratory infection. Despite medical treatment, his
symptoms of dyspnea and anxiety became aggravated, and bilateral lung infiltration was noted on radiological imaging
studies. His hypoxemia failed to improve even after the application of endotracheal intubation with mechanical
ventilator care, and we therefore decided to initiate venovenous extracorporeal membrane oxygenation (VV ECMO)
for additional pulmonary support. On his twentieth day of hospitalization, hypotension and desaturation (arterial saturated
oxygen ＜85%) developed, and right ventricular failure was confirmed by two-dimensional echocardiography.
Therefore, we changed from VV ECMO to venoarteriovenous (VAV) ECMO, and the patient ultimately recovered. In
this case, right ventricular dysfunction and volume overloading were induced by long-term VV ECMO therapy, and
we successfully treated these conditions by changing to VAV ECMO. |
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| ISSN: | 2233-601X 2093-6516 |