Extracorporeal Membrane Oxygenation as a Bridge to Emergency Heart-Lung Transplantation in a Patient With Idiopathic Pulmonary Arterial Hypertension

2008 ◽  
Vol 27 (4) ◽  
pp. 466-468 ◽  
Author(s):  
Igor D. Gregoric ◽  
Divay Chandra ◽  
Timothy J. Myers ◽  
Scott A. Scheinin ◽  
Pranav Loyalka ◽  
...  
2020 ◽  
Vol 10 (1) ◽  
pp. 204589402091014
Author(s):  
Shiro Adachi ◽  
Shigetake Shimokata ◽  
Masahiro Yoshida ◽  
Ryo Imai ◽  
Yoshihisa Nakano ◽  
...  

Pregnancy is not advised for patients with Pulmonary hypertension (PH) because of high risk of PH crisis. However, some patients have undiagnosed idiopathic pulmonary arterial hypertension (IPAH) before pregnancy. Upfront combination therapy has high efficacy for patients with IPAH. However, some patients are unable to stand until upfront combination therapy has worked sufficiently. The extracorporeal membrane oxygenation (ECMO) system has been proposed as a bridging therapy to recovery for patients with IPAH. Here, we report a case where a novel form of peripheral ECMO assist plus upfront combination therapy containing intravenous epoprostenol rescued a female patient diagnosed with IPAH just after childbirth. Following this treatment, the patient could successfully transition from intravenous epoprostenol to oral selexipag.


2015 ◽  
Vol 29 (12) ◽  
pp. 1067-1075 ◽  
Author(s):  
Charles Hill ◽  
Bryan Maxwell ◽  
David Boulate ◽  
Francois Haddad ◽  
Richard Ha ◽  
...  

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