[Addition of an arterio-venous shunt during veno-arterial extracorporeal life support in a patient with Hantavirus pulmonary syndrome].
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.
Tomicic
Vinko
V
Departamento de Paciente Crítico, Clínica Alemana de Santiago, Facultad de Medicina, Universidad del Desarrollo, Santiago, Chile. vinkotomicic@udd.cl
Espinoza
Mauricio
M
Torres
Javier
J
Abarca
Juan
J
Montes
José Miguel
JM
Luppi
Mario
M
Concha
Andrés
A
Reynolds
Enrique
E
Laporte
Alberto
A
Canals
Claudio
C
Vial
Pablo
P
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*