title: [Traumatic tricuspid valve insufficiency with right-to-left shunt: bridging using extracorporeal venovenous membrane oxygenation].
abstract: The case of a young male motor vehicle driver is reported who suffered multiple trauma in a car accident with pulmonary and cardiac contusions. In the course of severe pneumonia and traumatic tricuspid valve insufficiency a right-to-left shunt with refractory hypoxemia developed across a pre-existing atrial septal defect (ASD). The patient could be successfully treated by the combination of extracorporeal membrane oxygenation for bridging, interventional ASD occlusion and in the long-term by operative reconstruction of the tricuspid valve.
authors: Klinik und Poliklinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Bonn, Sigmund-Freud-Str. 25, 53105, Bonn, Deutschland.
authors: S U
authors: SU
authors: Weber
authors: C
authors: C
authors: Hammerstingl
authors: F
authors: F
authors: Mellert
authors: G
authors: G
authors: Baumgarten
authors: C
authors: C
authors: Putensen
authors: P
authors: P
authors: Knuefermann
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D003288:Contusions / Q000209:etiology / Q000601:surgery / Q000628:therapy; D018450:Disease Progression; D017548:Echocardiography, Transesophageal; D004632:Emergency Medical Services; D015199:Extracorporeal Membrane Oxygenation; D015600:Glasgow Coma Scale; D006335:Heart Injuries / Q000150:complications / Q000601:surgery* / Q000628:therapy*; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000601:surgery; D006440:Hemofiltration; D006801:Humans; D008297:Male; D009104:Multiple Trauma / Q000175:diagnosis / Q000601:surgery; D011030:Pneumothorax / Q000209:etiology / Q000628:therapy; D012121:Respiration, Artificial; D013898:Thoracic Injuries / Q000150:complications; D014057:Tomography, X-Ray Computed; D014261:Tricuspid Valve / Q000601:surgery; D014262:Tricuspid Valve Insufficiency / Q000209:etiology / Q000601:surgery* / Q000628:therapy*; D015300:Ventilator Weaning