The ProtekDuo Cannula for Acute Right Ventricular Support in Thyrotoxicosis

被引:1
作者
Maybauer, Marc O. [1 ,2 ,3 ,5 ]
Brewer, Joseph M. [4 ]
机构
[1] Univ Florida, Coll Med, Dept Anesthesiol, Div Crit Care Med, Gainesville, FL 32610 USA
[2] Philipps Univ, Dept Anaesthesiol & Intens Care Med, Marburg, Germany
[3] Univ Queensland, Prince Charles Hosp, Crit Care Res Grp, Brisbane, Australia
[4] Nazih Zuhdi Transplant Inst, INTEGRIS Baptist Med Ctr, Specialty Crit Care & Acute Circulatory Support Se, Oklahoma City, OK USA
[5] Univ Florida, Dept Anesthesiol, Div Crit Care Med, 1600 SW Archer Rd, Gainesville, FL 32610 USA
关键词
ECMO; ProtekDuo; right ventricular assist device; RVAD; thyrotoxicosis; venoarterial; venopulmonary;
D O I
10.4103/aca.aca_26_23
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
A 25-year-old female was presented with acute right heart failure (aRHF) and cardiogenic shock secondary to thyrotoxicosis with concomitant acute respiratory failure. A ProtekDuo cannula was placed to provide temporary percutaneous right ventricular assistance and extracorporeal membrane oxygenation (ECMO) in venopulmonary (V-P) configuration, which provided both decompression of the right ventricle (RV) and oxygenation. With treatment of the underlying thyrotoxicosis, the RV function improved and respiratory failure resolved. She was discharged home in good condition. This case details alternative ECMO management with ProtekDuo compared to the gold standard of venoarterial (V-A) ECMO.
引用
收藏
页码:464 / 467
页数:4
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