Emergency interventional lung assist for pulmonary hypertension.
We present a 15-yr-old-girl who underwent interventional lung assist via Novalung (Novalung GmbH, Lotzenaecker, Heckingen, Germany) insertion as a bridge to bilateral lung transplantation for pulmonary veno-occlusive disease. This is the first pediatric and smallest patient to receive the device. Central cannulation was chosen to optimize blood flow through the device by enabling larger-sized cannulae in a patient with high pulmonary artery pressure. Novalung provided circulatory support with oxygenation obviating the need for extracorporeal membrane oxygenation while waiting for lung transplantation.
Taylor
Katherine
K
Department of Anesthesia, Hospital for Sick Children, Toronto, Canada. katherine.taylor@sickkids.c
Holtby
Helen
H
D000328:Adult; D001187:Artificial Organs; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology / Q000628:therapy*; D008168:Lung; D016040:Lung Transplantation; D011652:Pulmonary Circulation; D011668:Pulmonary Veno-Occlusive Disease / Q000150:complications / Q000601:surgery / Q000628:therapy*; D012121:Respiration, Artificial; D014463:Ultrasonography; D018497:Ventricular Dysfunction, Right / Q000150:complications / Q000000981:diagnostic imaging