scholarly journals 395: PEDIATRIC PULMONARY ARTERY ANEURYSMS CAUSING PULMONARY HEMORRHAGE WHILE ON VA ECMO SUPPORT

2021 ◽  
Vol 50 (1) ◽  
pp. 185-185
Author(s):  
Igor Areinamo ◽  
Jenna Miller ◽  
Jay Rilinger ◽  
Marita Thompson
Keyword(s):  
Pulmonary Artery ◽  
Pulmonary Hemorrhage ◽  
Ecmo Support ◽  
Pulmonary Artery Aneurysms ◽  
Va Ecmo

scholarly journals PULMONARY HEMORRHAGE DURING VA-ECMO SUPPORT IN A PATIENT WITH A SYSTEMIC-PULMONARY ARTERY SHUNT

2021 ◽  
Vol 77 (18) ◽  
pp. 2770
Author(s):  
Tighe N. Marrone ◽  
S. Adil Husain ◽  
Aaron Eckhauser ◽  
Stephanie Goldstein
Keyword(s):  
Pulmonary Artery ◽  
Pulmonary Hemorrhage ◽  
Ecmo Support ◽  
Va Ecmo

Procedure Volume and Outcomes in Patients with VA-ECMO Support

2020 ◽  
Author(s):  
M. Becher ◽  
A. Goßling ◽  
B. Schrage ◽  
N. Fluschnik ◽  
M. Seiffert ◽  
...  
Keyword(s):  
Ecmo Support ◽  
Procedure Volume ◽  
Va Ecmo

scholarly journals Quality of Life Following Urgent LVAD Implantation for ECMO Therapy in Cardiogenic Shock: A Long-Term Follow-Up

Medicina ◽  
2021 ◽  
Vol 57 (8) ◽  
pp. 747
Author(s):  
Rafal Berger ◽  
Hasan Hamdoun ◽  
Rodrigo Sandoval Boburg ◽  
Medhat Radwan ◽  
Metesh Acharya ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cardiogenic Shock ◽  
Left Ventricular ◽  
Ecmo Support ◽  
Circulatory Support ◽  
Significant Difference ◽  
Va Ecmo ◽  
Ecmo Therapy

Background and Objectives: Over the past decade, veno-arterial extracorporeal membrane oxygenation (VA-ECMO) has developed into a mainstream treatment for refractory cardiogenic shock (CS) to maximal conservative management. Successful weaning of VA-ECMO may not be possible, and bridging with further mechanical circulatory support (MCS), such as urgent implantation of a left ventricular assist device (LVAD), may represent the only means to sustain the patient haemodynamically. In the recovery phase, many survivors are not suitably prepared physically or psychologically for the novel issues encountered during daily life with an LVAD. Materials and Methods: A retrospective analysis of our institutional database between 2012 and 2019 was performed to identify patients treated with VA-ECMO for CS who underwent urgent LVAD implantation whilst on MCS. Post-cardiotomy cases were excluded. QoL was assessed prospectively during a routine follow-up visit using the EuroQol-5 dimensions-5 level (EQ-5D-5L) and the Patient Health Questionnaire (PHQ-9) surveys. Results: Among 126 in-hospital survivors of VA-ECMO therapy due to cardiogenic shock without prior cardiac surgery, 31 (24.6%) urgent LVAD recipients were identified. In 11 (36.7%) cases, cardiopulmonary resuscitation (CPR) was performed (median 10, range 1–60 min) before initiation of VA-ECMO, and in 5 (16.7%) cases, MCS was established under CPR. Mean age at LVAD implantation was 51.7 (+/−14) years and surgery was performed after a mean 12.1 (+/−8) days of VA-ECMO support. During follow-up of 46.9 (+/−25.5) months, there were 10 deaths after 20.4 (+/−12.1) months of LVAD support. Analysis of QoL questionnaires returned a mean EQ-5D-5L score of 66% (+/−21) of societal valuation for Germany and a mean PHQ-9 score of 5.7 (+/−5) corresponding to mild depression severity. When compared with 49 elective LVAD recipients without prior VA-ECMO therapy, there was no significant difference in QoL results. Conclusions: Patients requiring urgent LVAD implantation under VA-ECMO support due to CS are associated with comparable quality of life without a significant difference from elective LVAD recipients. Close follow-up is required to oversee patient rehabilitation after successful initial treatment.

scholarly journals Paediatric haemoptysis from multiple pulmonary artery aneurysms

2021 ◽  
Vol 9 (10) ◽  
Author(s):  
Prakarn Tovichien ◽  
Phatthareeda Kaeotawee
Keyword(s):  
Pulmonary Artery ◽  
Pulmonary Artery Aneurysms

Stroke Complications in Patients Requiring Durable VAD Systems after VA-ECMO Support

2021 ◽  
Author(s):  
D. Saeed ◽  
E. Potapov ◽  
A. Loforte ◽  
M. Morshuis ◽  
D. Schibilsky ◽  
...  
Keyword(s):  
Ecmo Support ◽  
Va Ecmo

Persistent fever with chills and an endocardial mass in a child: an unusual presentation of Hughes–Stovin syndrome

2016 ◽  
Vol 27 (3) ◽  
pp. 605-608 ◽  
Author(s):  
Marianna Fabi ◽  
Francesca Lami ◽  
Maurizio Zompatori
Keyword(s):  
Pulmonary Artery ◽  
Jugular Vein ◽  
Anticoagulation Therapy ◽  
Pulmonary Haemorrhage ◽  
Acute Phase Reactants ◽  
Pulmonary Lesions ◽  
Pulmonary Artery Aneurysms ◽  
Peripheral Arterial ◽  
Respiratory Complaints ◽  
Venous Thromboses

AbstractA 12-year-old boy with a right atrium endocardial mass was initially diagnosed as having Lemierre’s syndrome on the basis of previous mastoiditis and jugular vein and cerebral venous thrombosis. Lack of response to antibiotics, persistent high fever with chills, acute-phase reactants, and peripheral arterial pseudoaneurysms made us reconsider the diagnosis. Only after the late appearance of radiological pulmonary lesions and recognition of pulmonary artery aneurysms, Hughes–Stovin syndrome was diagnosed. Hughes–Stovin syndrome is an exceedingly rare vasculitis, especially in childhood, consisting of multiple pulmonary artery aneurysms and deep venous thromboses. The lack of formal diagnostic criteria and the rarity of the disease make the diagnosis very challenging, especially when respiratory complaints are not present at onset, as in the presented case. The treatment aims to reduce inflammation, although there is debate about anticoagulation therapy because of the risk of pulmonary haemorrhage.

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