Recovery from hemorrhagic pulmonary damage by combined use of a left ventricular assist system and right ventricular assist system and extracorporeal membrane oxygenation.
A 13-year-old boy developed cardiogenic shock secondary to end-stage dilated cardiomyopathy and extracorporeal life support (ECLS) was initiated. However, pulmonary hemorrhage occurred due to severe pulmonary hypertension. He underwent implantation of a left ventricular assist system (LVAS) and right ventricular assist system (RVAS) plus extracorporeal membrane oxygenation (ECMO) shunting between the right and left atrium. Pulmonary damage was resolved and RVAS-ECMO was terminated after 8 days of support.
Fukui
Shinya
S
Division of Cardiovascular Surgery, Department of Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan. fukui0104@yahoo.co.jp
Matsumiya
Goro
G
Toda
Koichi
K
Monta
Osamu
O
Fukushima
Norihide
N
Matsuda
Hikaru
H
Sawa
Yoshiki
Y
D000293:Adolescent; D002311:Cardiomyopathy, Dilated / Q000150:complications / Q000473:pathology / Q000503:physiopathology; D015199:Extracorporeal Membrane Oxygenation; D006353:Heart-Assist Devices; D006470:Hemorrhage / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications; D008171:Lung Diseases / Q000473:pathology / Q000628:therapy*; D008297:Male; D012770:Shock, Cardiogenic / Q000209:etiology / Q000473:pathology / Q000503:physiopathology