title: [Addition of an arterio-venous shunt during veno-arterial extracorporeal life support in a patient with Hantavirus pulmonary syndrome].
abstract: A subgroup of patients infected with the Hantavirus develops a pulmonary syndrome (HPS) characterized by severe acute respiratory failure and myocardial depression, that has a high mortality rate. Extracorporeal life support (ECLS) could be a valuable therapeutic tool in such patients. We report a 24 years old male with HPS that was successfully managed when an arterio-venous shunt was added to a conventional veno-arterial ECLS technique. Precise criteria have been developed to predict which patients should be considered for this treatment.
authors.affiliation: Departamento de Paciente Crítico, Clínica Alemana de Santiago, Facultad de Medicina, Universidad del Desarrollo, Santiago, Chile. vinkotomicic@udd.cl
authors.forename: Vinko
authors.initials: V
authors.lastname: Tomicic
authors.forename: Mauricio
authors.initials: M
authors.lastname: Espinoza
authors.forename: Javier
authors.initials: J
authors.lastname: Torres
authors.forename: Juan
authors.initials: J
authors.lastname: Abarca
authors.forename: José Miguel
authors.initials: JM
authors.lastname: Montes
authors.forename: Mario
authors.initials: M
authors.lastname: Luppi
authors.forename: Andrés
authors.initials: A
authors.lastname: Concha
authors.forename: Enrique
authors.initials: E
authors.lastname: Reynolds
authors.forename: Alberto
authors.initials: A
authors.lastname: Laporte
authors.forename: Claudio
authors.initials: C
authors.lastname: Canals
authors.forename: Pablo
authors.initials: P
authors.lastname: Vial
mesh_terms: D000328:Adult; D001166:Arteriovenous Shunt, Surgical / Q000295:instrumentation / Q000379:methods*; D015199:Extracorporeal Membrane Oxygenation / Q000295:instrumentation / Q000379:methods*; D018804:Hantavirus Pulmonary Syndrome / Q000628:therapy*; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000601:surgery*