A novel strategy for cardiopulmonary support during lung transplantation

Ramiro Fernandez, Malcolm M. DeCamp, Ankit Bharat*

*Corresponding author for this work

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)E142-E144
JournalJournal of Thoracic Disease
Volume10
Issue number2
DOIs
StatePublished - Feb 1 2018

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Keywords

  • Cardiopulmonary support
  • Extracorporeal membrane oxygenation (ECMO)
  • Lung transplantation

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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