Extracorporeal membrane oxygenation in pulmonary crisis and primary graft dysfunction.
This report describes the clinical use of an extracorporeal membrane oxygenation system in a 23-year-old woman with severe pulmonary arterial hypertension due to end-stage systemic lupus erythematosus. The system was also used to provide a direct bridge from resuscitation to transplantation after acute onset of pulmonary crisis and maintenance of stable hemodynamics during the bilateral lung transplant, and also to provide optimal oxygenation until the transplanted lung recovered from severe primary graft dysfunction.
Hsu
Hsao-Hsun
HH
Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
Ko
Wen-Je
WJ
Chen
Jin-Shing
JS
Lin
Cheng-Hsin
CH
Kuo
Shuenn-Wen
SW
Huang
Shu-Chien
SC
Lee
Yung-Chie
YC
D000328:Adult; D004636:Emergency Service, Hospital; D004638:Emergency Treatment / Q000379:methods; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006084:Graft Rejection / Q000517:prevention & control; D006333:Heart Failure / Q000175:diagnosis / Q000628:therapy*; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy*; D016040:Lung Transplantation / Q000009:adverse effects* / Q000379:methods; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000175:diagnosis; D012720:Severity of Illness Index; D016896:Treatment Outcome