title: Extracorporeal membrane oxygenation for acute life-threatening neurogenic pulmonary edema following rupture of an intracranial aneurysm.
abstract: Neurogenic pulmonary edema (NPE) leading to cardiopulmonary dysfunction is a potentially life-threatening complication in patients with central nervous system lesions. This case report describes a 28-yr woman with life-threatening fulminant NPE, which was refractory to conventional respiratory treatment, following the rupture of an aneurysm. She was treated successfully with extracorporeal membrane oxygenation (ECMO), although ECMO therapy is generally contraindicated in neurological injuries such as brain trauma and diseases that are likely to require surgical intervention. The success of this treatment suggests that ECMO therapy should not be withheld from patients with life-threatening fulminant NPE after subarachnoid hemorrhage.
authors.affiliation: Department of Neurosurgery, School of Medicine, Seoul National University, Seoul, Korea.
authors.forename: Gyo Jun
authors.initials: GJ
authors.lastname: Hwang
authors.forename: Seung Hun
authors.initials: SH
authors.lastname: Sheen
authors.forename: Hyoung Soo
authors.initials: HS
authors.lastname: Kim
authors.forename: Hee Sung
authors.initials: HS
authors.lastname: Lee
authors.forename: Tae Hun
authors.initials: TH
authors.lastname: Lee
authors.forename: Gi Ho
authors.initials: GH
authors.lastname: Gim
authors.forename: Sung Mi
authors.initials: SM
authors.lastname: Hwang
authors.forename: Jae Jun
authors.initials: JJ
authors.lastname: Lee
mesh_terms: D000328:Adult; D001921:Brain / Q000000981:diagnostic imaging; D056424:Decompressive Craniectomy; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000175:diagnosis*; D011654:Pulmonary Edema / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D013345:Subarachnoid Hemorrhage / Q000209:etiology; D014057:Tomography, X-Ray Computed
keywords: Extracorporeal Membrane Oxygenation; Pulmonary Edema; Subarachnoid Hemorrhage