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- Title
Dual Extracorporeal Membrane Oxygenation Support for Bridging Lung Transplantation in Acute Exacerbation of Idiopathic Pulmonary Fibrosis.
- Authors
Dong Jung Kim; Yeon Joo Lee; Jun Sung Kim; Sangheon Park; Young-Jae Cho
- Abstract
When patients with severe respiratory failure are treated with venovenous extracorporeal membrane oxygenation (VV-ECMO), severe pulmonary hypertension due to right ventricular (RV) failure is possible. This is a serious complication that requires immediate therapeutic intervention. We report an extraordinary experience of additional venoarterial extracorporeal membrane oxygenation (VA-ECMO) support for RV failure in a patient who was being treated with VV-ECMO as a bridge to lung transplantation. A 61-year-old man was diagnosed with acute exacerbation of idiopathic pulmonary fibrosis. While waiting for lung transplantation, he was placed on VV-ECMO and developed RV failure. After insertion of additional VA ECMO, RV dysfunction was dramatically improved. He underwent heart-lung transplantation after 23 days of dual ECMO support.
- Subjects
EXTRACORPOREAL membrane oxygenation; LUNG transplantation; DISEASE exacerbation; IDIOPATHIC pulmonary fibrosis; RESPIRATORY insufficiency treatment
- Publication
Korean Journal of Critical Care Medicine, 2014, Vol 29, Issue 3, p207
- ISSN
1229-4802
- Publication type
Article
- DOI
10.4266/kjccm.2014.29.3.207