Case report of successful peripheral veno-arterial extracorporeal membrane oxygenation in a patient with chronic type B aortic dissection

Perfusion ◽  
2020 ◽  
pp. 026765912093853
Author(s):  
Shek-yin Au ◽  
Ka-man Fong ◽  
Wing-yiu George Ng ◽  
Sheung-on So ◽  
Kit-hung Anne Leung

A case report of successful application of peripheral veno-arterial extracorporeal membrane oxygenation in a patient with chronic type B aortic dissection and myocardial stunning to bridge to recovery was presented. Good outcomes from the application of peripheral veno-arterial extracorporeal membrane oxygenation in aortic dissection have rarely been reported, and the considerations of starting veno-arterial extracorporeal membrane oxygenation in this situation were seldom discussed. The orthodox that peripheral veno-arterial extracorporeal membrane oxygenation is an absolute contraindication for initiation of peripheral veno-arterial extracorporeal membrane oxygenation should be challenged. With proper planning and real-time transesophageal echocardiography–guided cannulation, peripheral veno-arterial extracorporeal membrane oxygenation is possibly beneficial. The considerations and echocardiography-guided techniques would be discussed in this report.

2009 ◽  
Vol 50 (6) ◽  
pp. 1535
Author(s):  
Anton Dias Perera ◽  
Alan Willis ◽  
Joss D. Fernandez ◽  
H. Edward Garrett ◽  
Bradley A. Wolf

2021 ◽  
Vol 9 (34) ◽  
pp. 10689-10695
Author(s):  
Li Zhang ◽  
Wei-Kang Guan ◽  
Hua-Ping Wu ◽  
Xiang Li ◽  
Kai-Ping Lv ◽  
...  

2007 ◽  
Vol 107 (4) ◽  
pp. 419-423 ◽  
Author(s):  
M. Ugurlucan ◽  
Y. Akyol ◽  
K. Guven ◽  
A. Poyanli ◽  
U. Alpagut ◽  
...  

Perfusion ◽  
2021 ◽  
pp. 026765912199854
Author(s):  
Masatsugu Miyagawa ◽  
Tsukasa Yagi ◽  
Shonosuke Sugai ◽  
Satoshi Hayashida ◽  
Kazuki Iso ◽  
...  

Acute type B aortic dissection is sometimes complicated by acute respiratory failure requiring mechanical ventilation. Herein, we describe our experience in a rare acute type B aortic dissection-associated respiratory failure case culminating in acute respiratory distress syndrome. The patient was a 45-year-old man admitted with a complaint of sudden chest pain radiating to his back. On computed tomography, an acute type B aortic dissection was diagnosed. He had no dyspnea on admission, but his respiratory function subsequently deteriorated, and severe acute respiratory distress syndrome was diagnosed on Day 4. Venovenous extracorporeal membrane oxygenation with anticoagulation plus continuous renal replacement therapy for oliguria improved the oxygenation, and the patient was weaned from the extracorporeal membrane oxygenation on Day 8. This patient fully recovered without worsening the aortic dissection, using venovenous extracorporeal membrane oxygenation with anticoagulation plus a continuous renal replacement therapy.


2020 ◽  
Vol 04 (05) ◽  
Author(s):  
Hervé Rousseau ◽  
Paul Revel-Mouroz ◽  
Charline Zadro ◽  
Camille Dambrin ◽  
Christophe Cron ◽  
...  

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