Survival after extreme left atrial hypertension and pulmonary hemorrhage in an infant supported with extracorporeal membrane oxygenation for refractory atrial flutter

2011 ◽  
Vol 12 (3) ◽  
pp. e149-e152 ◽  
Author(s):  
Michael J. Cisco ◽  
Ritu Asija ◽  
Anne M. Dubin ◽  
Stanton B. Perry ◽  
Frank L. Hanley ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Atrial Flutter ◽  
Left Atrial ◽  
Pulmonary Hemorrhage ◽  
Membrane Oxygenation

scholarly journals Percutaneous left atrial unloading to prevent pulmonary oedema and to facilitate ventricular recovery under extracorporeal membrane oxygenation therapy

2017 ◽  
Vol 26 (1) ◽  
pp. 4-7 ◽  
Author(s):  
Alexander M Bernhardt ◽  
Mathias Hillebrand ◽  
Yalin Yildirim ◽  
Samer Hakmi ◽  
Florian M Wagner ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Pulmonary Oedema ◽  
Left Atrial ◽  
Membrane Oxygenation

scholarly journals Veno-venous extracorporeal membrane oxygenation successfully treated a case of severe pulmonary hemorrhage caused by leptospirosis

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
H. J. Wang ◽  
G. Z. Chen ◽  
C. J. Zhou ◽  
Y. FU ◽  
L. N. YAO
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Mainland China ◽  
Pulmonary Hemorrhage ◽  
Lavage Fluid ◽  
Case Presentation ◽  
Membrane Oxygenation ◽  
Second Generation Sequencing ◽  
Very High ◽  
Generation Sequencing ◽  
Secondary Condition

Abstract Background Pulmonary hemorrhage is an important complication of leptospirosis. Once acute respiratory distress syndrome (ARDS) occurs as a secondary condition, treatment is extremely difficult and the mortality rate is very high. Case presentation The patient was a 49-year-old. He was admitted to the hospital because he had experienced a fever and cough for 4 days. Hemorrhage, respiratory failure, ARDS and other symptoms appeared soon after admission. Due to severe pulmonary hemorrhage secondary to ARDS, mechanical ventilation was performed through tracheal intubation. During intubation, the patient suffered cardiac arrest, and the patient’s condition worsened. He was confirmed to have leptospirosis through second-generation sequencing of the alveolar lavage fluid. Finally, we successfully treated the patient with penicillin as an anti-infective medication and venous-venous extracorporeal membrane oxygenation (v-vECMO). To the best of our knowledge, this report is the first to describe the successful application of ECMO in mainland China. Conclusions Leptospirosis can induce serious but transient ARDS with a better prognosis than other causes of ARDS. Our patient was successfully treated with V-vECMO.

Life-threatening antineutrophil cytoplasmic antibody–associated vasculitis after influenza A H1N1 infection requiring veno-venous extracorporeal membrane oxygenation

Perfusion ◽  
2020 ◽  
Vol 35 (6) ◽  
pp. 546-549
Author(s):  
Frantzeska G. Frantzeskaki ◽  
Stavros Dimopoulos ◽  
Dimitrios Konstantonis ◽  
Pelagia Katsibri ◽  
Kostantinos Kostopanagiotou ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Influenza A ◽  
Immunosuppressive Treatment ◽  
Pulmonary Hemorrhage ◽  
Antineutrophil Cytoplasmic Antibody ◽  
H1n1 Infection ◽  
Membrane Oxygenation ◽  
Antineutrophil Cytoplasmic Autoantibody ◽  
Influenza A H1n1 ◽  
Life Threatening

Introduction: Antineutrophil cytoplasmic autoantibody–associated vasculitis is an immune-mediated necrotizing vasculitis, affecting small- and medium-sized vessels. Case report: A 22-year-old female patient with free medical history presented with life-threatening pulmonary hemorrhage due to antineutrophil cytoplasmic autoantibody–associated vasculitis, temporarily associated with influenza A H1N1 infection. Due to rapidly worsening respiratory failure, despite conventional management, veno-venous peripheral extracorporeal membrane oxygenation was initiated and continued for 26 days, with subsequent renal replacement therapy. Discussion: We present a case of severe antineutrophil cytoplasmic autoantibody–associated pulmonary vasculitis, managed with veno-venous extracorporeal membrane oxygenation at the initial phase. Despite the significant challenges raised with the use of extracorporeal membrane oxygenation in pulmonary hemorrhage cases, extracorporeal membrane oxygenation may have a significant impact on outcome in this setting, by providing adequate time for a successful immunosuppressive treatment.

scholarly journals Extracorporeal membrane oxygenation for the control of a pulmonary artery hemorrhage

2021 ◽  
Author(s):  
Yuichiro Hirata ◽  
Eiki Tayama ◽  
Ryuya Nomura ◽  
Tomofumi Fukuda ◽  
Kojiro Furukawa ◽  
...  
Keyword(s):  
Blood Flow ◽  
Cardiac Surgery ◽  
Cardiopulmonary Bypass ◽  
Pulmonary Artery ◽  
Extracorporeal Membrane Oxygenation ◽  
Pulmonary Blood Flow ◽  
Pulmonary Hemorrhage ◽  
Massive Hemoptysis ◽  
Membrane Oxygenation ◽  
The Right

No standard treatments have been established for airway hemorrhage during cardiopulmonary bypass (CPB). Herein, we describe two cases of catheter-induced pulmonary hemorrhage during cardiac surgery. In each case, massive hemoptysis was observed during cardiopulmonary bypass (CPB) weaning. A bronchial blocker was inserted into the right bronchus, and extracorporeal membrane oxygenation (ECMO) was initiated to reduce pulmonary blood flow, and stabilize the hemodynamics. ECMO significantly reduced bleeding from the pulmonary artery (PA). Both cases had favorable outcomes following the implementation of extracorporeal membrane oxygenation (ECMO). ECMO is effective at controlling PA bleeding during and after cardiac surgery.

scholarly journals Intact survival from severe cardiogenic shock caused by the first attack of atrial tachycardia treated with extracorporeal membrane oxygenation and surgical left atrium appendage resection: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Tatsuhiko Shimizu ◽  
Tomoyuki Kanazawa ◽  
Takanobu Sakura ◽  
Kazuyoshi Shimizu ◽  
Tatsuo Iwasaki
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Left Atrial ◽  
Rare Case ◽  
Atrial Tachycardia ◽  
Left Atrial Appendage ◽  
Surgical Ablation ◽  
Case Presentation ◽  
Membrane Oxygenation ◽  
Life Threatening ◽  
Threatening Situation

Abstract Background Atrial tachycardia (AT) is rare in children and can usually be reversed to sinus rhythm with pharmacotherapy and cardioversion. We report a rare case of severe left-sided heart failure due to refractory AT. Case presentation A 12-year-old boy had AT with a heart rate of 180 beats/minute, which was refractory to any medication and defibrillation despite the first attack. Due to rapid cardiorespiratory collapse shortly after arriving at our hospital, central extracorporeal membrane oxygenation (ECMO) with left arterial venting was started immediately. Although AT persisted after that, it stopped on the 3rd day after admission following surgical resection of the left atrial appendage thought to be the source of AT. He was weaned off ECMO on the 7th day and ventilator on the 14th day. Conclusions The appropriate timing of central ECMO and surgical ablation were effective in saving this child from a life-threatening situation caused by refractory AT.

Use of Extracorporeal Membrane Oxygenation for Major Cardiopulmonary Resections

2020 ◽  
Author(s):  
Aris Koryllos ◽  
Alberto Lopez-Pastorini ◽  
Thomas Galetin ◽  
Jerome Defosse ◽  
Stephan Strassmann ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Left Atrium ◽  
Left Atrial ◽  
Intraoperative Complications ◽  
Left Lung ◽  
Arterial Cannulation ◽  
Perioperative Mortality ◽  
Descending Aorta ◽  
Membrane Oxygenation ◽  
Single Center Experience

Abstract Background In thoracic surgery, utilization of extracorporeal membrane oxygenation (ECMO) is mainly established for patients undergoing lung transplantation. The aim of our study was to summarize our single-center experience with intraoperative use of veno-venous- or veno-arterial-ECMO in patients undergoing complex lung surgery involving the main carina, or the left atrium or the descending aorta. Methods A total of 24 patients underwent combined complex lung, carinal, aortal, or left atrial resections. In cases of carinal resection, percutaneous veno-venous, jugular–femoral cannulation was considered suitable. For combined resection of lung and descending aorta, a percutaneous femoral veno-arterial cannulation was used. In cases of extended left atrial resection, a percutaneous jugular–femoral veno-venous-arterial cannulation was favored. Results Procedures were divided into three groups: carinal resections and reconstruction (n = 8), resections of the descending aorta and left lung (n = 7), resections of lung and left atrium (n = 9). No intraoperative complications occurred. Overall 30-day mortality was 25%. A complete resection was achieved in 18 patients. Median survival was 12 months. One- and 5-year survival were 48.1 and 22.7%, respectively. Conclusion The present study shows that intraoperative use of ECMO for extended carinal, aortic, or atrial resections is feasible with minimal intraoperative complications allowing surgeons increased operating-field safety. Perioperative mortality is high, but this is rather an attribute of local extended disease and patient comorbidities.

Sign in / Sign up

Export Citation Format

Share Document