Escalation of extracorporeal life support as a bridge to lung transplantation in end-stage lung disease
| Autor: | Andre R. Simon, Clara Hernández Caballero, Alexander Rosenberg, Anton Sabashnikov, Javid Fatullayev, Simona Soresi, Prashant N. Mohite, Anna Reed, Aron-Frederik Popov |
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| Rok vydání: | 2017 |
| Předmět: |
Lung Diseases
Male medicine.medical_specialty medicine.medical_treatment 030204 cardiovascular system & hematology Cystic fibrosis Extracorporeal 03 medical and health sciences Extracorporeal Membrane Oxygenation 0302 clinical medicine medicine Extracorporeal membrane oxygenation Humans Lung transplantation Radiology Nuclear Medicine and imaging Stage (cooking) Advanced and Specialized Nursing Lung business.industry General Medicine Middle Aged medicine.disease Surgery surgical procedures operative medicine.anatomical_structure 030228 respiratory system Respiratory failure Life support Cardiology and Cardiovascular Medicine business Safety Research Lung Transplantation |
| Zdroj: | Perfusion. 32:606-608 |
| ISSN: | 1477-111X 0267-6591 |
| DOI: | 10.1177/0267659117702440 |
| Popis: | Extracorporeal membrane oxygenation (ECMO) as a bridge to lung transplant (LTx) is not uncommon, but it is not commonplace yet. We present a case of a 45-year-old man with cystic fibrosis with recent deterioration in lung function who was initially supported with veno-venous (VV) ECMO. However, he subsequently required conversion to veno-veno-arterial (VVA) ECMO. After 21 days of support, he underwent double lung transplantation, with an uneventful postoperative course. This case shows that, in patients with end-stage respiratory failure awaiting lung transplantation, extracorporeal life support may require escalation to improve gas exchange and address circulatory requirements. |
| Databáze: | OpenAIRE |
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