title: Successful weaning from extracorporal circulation using a pumpless extracorporal lung assist device in a patient with intraoperative hypercapnic lung failure during aortic valve replacement.
abstract: We present a case of a 59-year-old female suffering from massive pulmonary edema with consecutive hypercapnic lung failure immediately following elective aortic valve replacement. Due to severe restrictive ventilation disorder, mechanical ventilation was inadequate. A pumpless lung assist (PECLA, iLA, Novalung®, Talheim, Germany)--a device for extracorporeal carbon dioxide elimination--was used for successful weaning from extracorporeal circulation (ECC). Within 24 hours respiratory function had normalized and the patient could be extubated. The further clinical course and follow-up at 3 months remained uneventful. This report describes the first intraoperative use of the PECLA device in a cardiac surgery patient to promote weaning from ECC.
authors: Department for Cardiac Surgery, Center for Cardiology and Cardiovascular Surgery, Martinistrasse 51, Hamburg, Germany. manuel.wilbring@gmail.com
authors: M
authors: M
authors: Wilbring
authors: M
authors: M
authors: Petzoldt
authors: H
authors: H
authors: Gulbins
authors: A E
authors: AE
authors: Goetz
authors: H
authors: H
authors: Reichenspurner
mesh_terms: D001021:Aortic Valve / Q000601:surgery*; D004867:Equipment Design; D015199:Extracorporeal Membrane Oxygenation / Q000295:instrumentation*; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D006935:Hypercapnia / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D008168:Lung / Q000503:physiopathology*; D008875:Middle Aged; D011654:Pulmonary Edema / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D020127:Recovery of Function; D012119:Respiration; D012131:Respiratory Insufficiency / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D013997:Time Factors; D016896:Treatment Outcome