title: Extracorporeal membrane oxygenation used in a massive lung bleeding following pulmonary endarterectomy.
abstract: The authors present a case of massive lung bleeding following           pulmonary endarterectomy (PEA) that was treated with peripheral veno-venous           extracorporeal membrane oxygenation (VV ECMO). The patient repeatedly           underwent bronchoscopy for airway blood clot obstruction and finally was           successfully weaned off the support. The authors discuss the indications for ECMO           in treatment of the most serious complications following PEA, and emphasize the           importance of echocardiographic evaluation of the right ventricular function in           relation to the indicated type of extracorporeal support. Anticoagulation strategy           for patients shortly after the major surgery connected to ECMO is also discussed.
authors.affiliation: Department of Anesthesiology and Intensive Care, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Prague, Czech Republic. ivana.kolnikova@vfn.cz
authors.forename: I
authors.initials: I
authors.lastname: Kolníková
authors.forename: J
authors.initials: J
authors.lastname: Kunstýř
authors.forename: J
authors.initials: J
authors.lastname: Lindner
authors.forename: M
authors.initials: M
authors.lastname: Lipš
authors.forename: P
authors.initials: P
authors.lastname: Kopecký
authors.forename: J
authors.initials: J
authors.lastname: Rulíšek
authors.forename: J
authors.initials: J
authors.lastname: Bělohlávek
authors.forename: M
authors.initials: M
authors.lastname: Balík
mesh_terms: D004691:Endarterectomy / Q000009:adverse effects; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D006801:Humans; D006976:Hypertension, Pulmonary / Q000601:surgery; D008875:Middle Aged; D019106:Postoperative Hemorrhage / Q000628:therapy*; D011651:Pulmonary Artery / Q000601:surgery*