Double ECMO in severe ARDS: report of an outstanding case and literature review.
We report on a 49-year-old male patient who suffered from severe herpes simplex (HSV) pneumonia after a fall-from-height injury, causing a circumscript type B aortic dissection.The subsequent occurrence of ARDS required a veno-venous ECMO circuit that was upgraded to a veno-arterial system due to further oxygenation deficits. Following continued respiratory deterioration, the ECMO system already in place had to be complemented by a second veno-arterial line. After the onset of recovery and because of a developing of a disseminated intravasal coagulation, the double ECMO circuit was replaced by a pumpless extracorporeal lung assist system (PECLA). The patient recovered completely under systemic virostatic therapy.
Litmathe
Jens
J
Department of Thoracic and Cardiovascular Surgery, Klinikum Oldenburg, Oldenburg, Germany. jens-litmathe@t-online.de
Dapunt
Otto
O
D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D006561:Herpes Simplex / Q000150:complications* / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011024:Pneumonia, Viral / Q000150:complications* / Q000473:pathology; D012128:Respiratory Distress Syndrome / Q000150:complications* / Q000473:pathology / Q000628:therapy*