scholarly journals Acute Cor Pulmonale in Critically Patient with COVID-19 resolved with Veno-Arterio-Venous ECMO

CASE ◽  
2021 ◽  
Author(s):  
Julio C. Sauza-Sosa ◽  
Cesar A. Rojas-Gomez ◽  
Marco A. Montes de Oca-Sandoval ◽  
Edgar Hernandez-Rendon ◽  
Rafael Lima-Linares ◽  
...  
Keyword(s):  
Cor Pulmonale ◽  
Acute Cor Pulmonale

scholarly journals An unusual cause of acute cor pulmonale – Significance of the ‘continuous diaphragm sign’

2014 ◽  
Vol 66 (5) ◽  
pp. 543-545
Author(s):  
Sandeep Mohanan ◽  
C.G. Sajeev ◽  
Kader Muneer ◽  
G. Rajesh ◽  
M.N. Krishnan ◽  
...  
Keyword(s):  
Cor Pulmonale ◽  
Acute Cor Pulmonale

Acute Cor Pulmonale

1984 ◽  
pp. 285-324 ◽  
Author(s):  
Warren R. Summer
Keyword(s):  
Cor Pulmonale ◽  
Acute Cor Pulmonale

scholarly journals Right Ventricular Function in Acute Respiratory Distress Syndrome: Impact on Outcome, Respiratory Strategy and Use of Veno-Venous Extracorporeal Membrane Oxygenation

2022 ◽  
Vol 12 ◽  
Author(s):  
Matthieu Petit ◽  
Edouard Jullien ◽  
Antoine Vieillard-Baron
Keyword(s):  
Pulmonary Hypertension ◽  
Extracorporeal Membrane Oxygenation ◽  
Right Ventricle ◽  
Pulmonary Circulation ◽  
Distress Syndrome ◽  
Cor Pulmonale ◽  
Prone Positioning ◽  
Acute Cor Pulmonale ◽  
Membrane Oxygenation ◽  
The Right

Acute respiratory distress syndrome (ARDS) is characterized by protein-rich alveolar edema, reduced lung compliance and severe hypoxemia. Despite some evidence of improvements in mortality over recent decades, ARDS remains a major public health problem with 30% 28-day mortality in recent cohorts. Pulmonary vascular dysfunction is one of the pivot points of the pathophysiology of ARDS, resulting in a certain degree of pulmonary hypertension, higher levels of which are associated with morbidity and mortality. Pulmonary hypertension develops as a result of endothelial dysfunction, pulmonary vascular occlusion, increased vascular tone, extrinsic vessel occlusion, and vascular remodeling. This increase in right ventricular (RV) afterload causes uncoupling between the pulmonary circulation and RV function. Without any contractile reserve, the right ventricle has no adaptive reserve mechanism other than dilatation, which is responsible for left ventricular compression, leading to circulatory failure and worsening of oxygen delivery. This state, also called severe acute cor pulmonale (ACP), is responsible for excess mortality. Strategies designed to protect the pulmonary circulation and the right ventricle in ARDS should be the cornerstones of the care and support of patients with the severest disease, in order to improve prognosis, pending stronger evidence. Acute cor pulmonale is associated with higher driving pressure (≥18 cmH2O), hypercapnia (PaCO2 ≥ 48 mmHg), and hypoxemia (PaO2/FiO2 < 150 mmHg). RV protection should focus on these three preventable factors identified in the last decade. Prone positioning, the setting of positive end-expiratory pressure, and inhaled nitric oxide (INO) can also unload the right ventricle, restore better coupling between the right ventricle and the pulmonary circulation, and correct circulatory failure. When all these strategies are insufficient, extracorporeal membrane oxygenation (ECMO), which improves decarboxylation and oxygenation and enables ultra-protective ventilation by decreasing driving pressure, should be discussed in seeking better control of RV afterload. This review reports the pathophysiology of pulmonary hypertension in ARDS, describes right heart function, and proposes an RV protective approach, ranging from ventilatory settings and prone positioning to INO and selection of patients potentially eligible for veno-venous extracorporeal membrane oxygenation (VV ECMO).

Acute cor pulmonale due to microscopic tumour embolism as the first manifestation of hepatocellular carcinoma

2002 ◽  
Vol 14 (7) ◽  
pp. 775-777 ◽  
Author(s):  
Alfonso Gutiérrez-Macías ◽  
Kepa Elorriaga Barandiarán ◽  
Francisco J. Bilbao Ercoreca ◽  
Mikel Martínez-Ortíz de Zárate
Keyword(s):  
Hepatocellular Carcinoma ◽  
Cor Pulmonale ◽  
Acute Cor Pulmonale

scholarly journals Acute Cor Pulmonale in Veno-Venous Extracorporeal Membrane Oxygenation

ASAIO Journal ◽  
2018 ◽  
Vol 64 (6) ◽  
pp. e187-e190 ◽  
Author(s):  
Erik R. Dong ◽  
David G. Ng ◽  
Danny Ramzy ◽  
Joshua S. Chung ◽  
Oren Friedman ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Cor Pulmonale ◽  
Acute Cor Pulmonale ◽  
Membrane Oxygenation

scholarly journals Acute Cor Pulmonale in COVID-19-Related ARDS

2020 ◽  
Vol 2 (9) ◽  
pp. 1311-1314
Author(s):  
Pierre Huette ◽  
Christophe Beyls ◽  
Mathieu Guilbart ◽  
Guillaume Haye ◽  
Fatim-Zahra Najid ◽  
...  
Keyword(s):  
Cor Pulmonale ◽  
Acute Cor Pulmonale

scholarly journals A Rare Cause for Acute Cor Pulmonale

2011 ◽  
Vol 5 (2) ◽  
pp. 330-335 ◽  
Author(s):  
C. Rajasekharan ◽  
V. Ganga
Keyword(s):  
Cor Pulmonale ◽  
Acute Cor Pulmonale
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