title: Veno-arterial ECMO for rescue of severe airway hemorrhage with rigid bronchoscopy after pulmonary artery thromboendarterectomy.
abstract: Pulmonary endarterectomy (PEA) is the treatment of choice to relieve pulmonary artery obstruction in patients with chronic thromboembolic pulmonary hypertension (CTEPH). We present a patient with airway obstruction and acute respiratory failure due to large blood clots obstructing the trachea and main left bronchus. This condition was accompanied by right ventricle failure and cardiogenic shock. A venoarterial ECMO system was used for cardiopulmonary support before extracting the clots and clearing the airway by rigid bronchoscopy.
authors.affiliation: Intensive Care Department, Cardiac Intensive Care Unit, Doce de Octubre University Hospital, Madrid - Spain.
authors.forename: Silvia
authors.initials: S
authors.lastname: Chacón-Alves
authors.affiliation: Intensive Care Department, Cardiac Intensive Care Unit, Doce de Octubre University Hospital, Madrid - Spain.
authors.forename: Jose Luis
authors.initials: JL
authors.lastname: Pérez-Vela
authors.affiliation: Intensive Care Department, Cardiac Intensive Care Unit, Doce de Octubre University Hospital, Madrid - Spain.
authors.forename: Teodoro
authors.initials: T
authors.lastname: Grau-Carmona
authors.affiliation: Intensive Care Department, Cardiac Intensive Care Unit, Doce de Octubre University Hospital, Madrid - Spain.
authors.forename: Helena
authors.initials: H
authors.lastname: Domínguez-Aguado
authors.affiliation: Intensive Care Department, Cardiac Intensive Care Unit, Doce de Octubre University Hospital, Madrid - Spain.
authors.forename: Helena
authors.initials: H
authors.lastname: Marín-Mateos
authors.affiliation: Intensive Care Department, Cardiac Intensive Care Unit, Doce de Octubre University Hospital, Madrid - Spain.
authors.forename: Emilio
authors.initials: E
authors.lastname: Renes-Carreño
mesh_terms: D001999:Bronchoscopy; D004691:Endarterectomy / Q000009:adverse effects*; D015199:Extracorporeal Membrane Oxygenation; D006333:Heart Failure / Q000209:etiology / Q000601:surgery; D006470:Hemorrhage / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery; D011651:Pulmonary Artery / Q000601:surgery*; D011655:Pulmonary Embolism / Q000601:surgery*; D012770:Shock, Cardiogenic / Q000209:etiology / Q000601:surgery; D016896:Treatment Outcome