Veno-venous extracorporeal membrane oxygenation bridging to pharmacotherapy in pulmonary arterial hypertensive crisis

被引：21
|
作者：
Srivastava, Mukta C. [1 ]
Ramani, Gautam V. [1 ]
Garcia, Jose P. [2 ]
Griffith, Bartley P. [2 ]
Uber, Patricia A. [1 ]
Park, Myung H. [1 ]
机构：
[1] Univ Maryland, Div Cardiol, Baltimore, MD 21201 USA
[2] Univ Maryland, Div Cardiac Surg, Baltimore, MD 21201 USA
来源：
JOURNAL OF HEART AND LUNG TRANSPLANTATION | 2010年 / 29卷 / 07期
关键词：
pulmonary arterial hypertension; mechanical circulatory support; right ventricular failure; ECMO; pulmonary hypertension;
D O I：
10.1016/j.healun.2010.02.005
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
We report the case of a treatment-naive patient with pulmonary arterial hypertension who presented with decompensated right ventricular failure and cardiogenic shock. Unstable hemodynamics, hypoxia and end-organ hypoperfusion limited up-titration of pharmacotherapy. Mechanical circulatory support with veno-venous extracorporeal membrane oxygenation (VV-ECMO) was initiated to permit dose titration of pulmonary vasodilator therapy. VV-ECMO was weaned after 10 days of support, with successful transition to intravenous epoprostenol and oral sildenafil. J Heart Lung Transplant 2010;29:811-3 (C) 2010 International Society for Heart and Lung Transplantation. All rights reserved.
引用
收藏
页码：811 / 813
页数：3
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