TY - JOUR
T1 - A novel strategy for cardiopulmonary support during lung transplantation
AU - Fernandez, Ramiro
AU - DeCamp, Malcolm M.
AU - Bharat, Ankit
N1 - Funding Information:
We thank Ms. Elena Susan for formatting and submitting this manuscript. Funding: This work was supported by the National Institutes
PY - 2018/2/1
Y1 - 2018/2/1
N2 - Contemporary modalities for cardiopulmonary support during lung transplantation include traditional cardiopulmonary bypass (CPB) and venoarterial extracorporeal membrane oxygenation (VAECMO). While highly effective, both are associated with morbidities such as arteriopathy and bleeding diathesis. In this report, we describe a novel approach for cardiopulmonary support during double lung transplantation in a patient with end-stage lung disease, pulmonary hypertension and moderate right ventricle (RV) dysfunction, using a percutaneous dual lumen cannula placed via the jugular vein which allowed us to achieve both RV bypass and membrane oxygenation. The cannula was left in place to provide ongoing RV support and the patient was successfully decannulated at bedside on post-operative day (POD) 2. Lack of arterial cannulation, percutaneous access, and bedside decannulation are benefits of this strategy, rendering this approach a useful addition to the armamentarium for CPB techniques in lung transplantation.
AB - Contemporary modalities for cardiopulmonary support during lung transplantation include traditional cardiopulmonary bypass (CPB) and venoarterial extracorporeal membrane oxygenation (VAECMO). While highly effective, both are associated with morbidities such as arteriopathy and bleeding diathesis. In this report, we describe a novel approach for cardiopulmonary support during double lung transplantation in a patient with end-stage lung disease, pulmonary hypertension and moderate right ventricle (RV) dysfunction, using a percutaneous dual lumen cannula placed via the jugular vein which allowed us to achieve both RV bypass and membrane oxygenation. The cannula was left in place to provide ongoing RV support and the patient was successfully decannulated at bedside on post-operative day (POD) 2. Lack of arterial cannulation, percutaneous access, and bedside decannulation are benefits of this strategy, rendering this approach a useful addition to the armamentarium for CPB techniques in lung transplantation.
KW - Cardiopulmonary support
KW - Extracorporeal membrane oxygenation (ECMO)
KW - Lung transplantation
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U2 - 10.21037/jtd.2017.12.111
DO - 10.21037/jtd.2017.12.111
M3 - Article
C2 - 29607205
AN - SCOPUS:85042076707
VL - 10
SP - E142-E144
JO - Journal of Thoracic Disease
JF - Journal of Thoracic Disease
SN - 2072-1439
IS - 2
ER -