Prolonged extracorporeal membrane oxygenation and circulatory support as bridge to lung transplant.
A 38-year-old man with progressive alveolitis secondary to polymyositis was treated for 52 days with venovenous and venoarterial extracorporeal membrane oxygenation as a bridge to bilateral lung transplantation. The patient survived, despite multiple complications, and is now back home with good pulmonary function. He is working part-time nearly 3 years post-transplant. This case shows that long-term extracorporeal lung assist is a viable but demanding alternative for bridging patients to pulmonary transplantation. This case also shows that right ventricular failure necessating conversion to veno-arterial assist does not necessarily predict right ventricular failure post-transplant.
Broomé
Michael
M
ECMO Department, Karolinska University Hospital, Stockholm, Sweden. michael.broome@karolinska.se
Palmér
Kenneth
K
Scherstén
Henrik
H
Frenckner
Björn
B
Nilsson
Folke
F
D000328:Adult; D003882:Dermatomyositis / Q000150:complications* / Q000175:diagnosis; D018450:Disease Progression; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D005500:Follow-Up Studies; D006333:Heart Failure / Q000209:etiology / Q000628:therapy; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D016040:Lung Transplantation / Q000379:methods; D008297:Male; D011658:Pulmonary Fibrosis / Q000209:etiology / Q000601:surgery; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy*; D018570:Risk Assessment; D013997:Time Factors; D016896:Treatment Outcome; D014850:Waiting Lists