[Treatment of severe respiratory failure with cardiopulmonary extracorporeal assistance. A clinical case].
Cardiopulmonary extracorporeal assistance is a high complexity procedure for patients with acute respiratory failure, who have failed conventional ventilatory support. A 30 years old female patient with bacterial endocarditis and congestive cardiac failure subjected to cardiac surgery presented severe hypoxemia, right heart failure and pulmonary hypertension, and failed conventional treatment. Cardiopulmonary support with extracorporeal membrane oxygenation (ECMO) reverted the pathophysiologic alterations allowing a successful recovery.
Castillo
Luis
L
Programa de Medicina Intensiva, Departamento de Anestesiología, Departamento de Enfermedades Cardiovasculares, Hospital Clínico Pontificia Universidad Católica de Chile. castillo@med.puc.cl
Velasco
Soledad
S
Irarrázabal
Manuel José
MJ
Garayar
Bernardita
B
Hernández
Glenn
G
Córdova
Samuel
S
Romero
Carlos
C
Bugedo
Guillermo
G
D000328:Adult; D015199:Extracorporeal Membrane Oxygenation / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006331:Heart Diseases / Q000601:surgery; D006333:Heart Failure / Q000601:surgery; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications; D000860:Hypoxia / Q000150:complications; D012121:Respiration, Artificial / Q000009:adverse effects*; D012128:Respiratory Distress Syndrome / Q000628:therapy; D012131:Respiratory Insufficiency / Q000628:therapy*