Right heart failure during veno-venous extracorporeal membrane oxygenation for H1N1 induced acute respiratory distress syndrome: Case report and literature review

Seung Hun Lee, Jae Seung Jung, Jae Ho Chung, Kwang Hyung Lee, Hee Jung Kim, Ho Sung Son, Kyung-Sun

    Research output: Contribution to journalArticlepeer-review

    6 Citations (Scopus)

    Abstract

    A 38-year-old male was admitted with symptoms of upper respiratory infection. Despite medical treatment, his symptoms of dyspnea and anxiety became aggravated, and bilateral lung infiltration was noted on radiological imaging studies. His hypoxemia failed to improve even after the application of endotracheal intubation with mechanical ventilator care, and we therefore decided to initiate venovenous extracorporeal membrane oxygenation (VV ECMO) for additional pulmonary support. On his twentieth day of hospitalization, hypotension and desaturation (arterial saturated oxygen <85%) developed, and right ventricular failure was confirmed by two-dimensional echocardiography. Therefore, we changed from VV ECMO to venoarteriovenous (VAV) ECMO, and the patient ultimately recovered. In this case, right ventricular dysfunction and volume overloading were induced by long-term VV ECMO therapy, and we successfully treated these conditions by changing to VAV ECMO.

    Original languageEnglish
    Pages (from-to)289-293
    Number of pages5
    JournalKorean Journal of Thoracic and Cardiovascular Surgery
    Volume48
    Issue number4
    DOIs
    Publication statusPublished - 2015

    Keywords

    • Acute respiratory distress syndrome (ARDS)
    • Extracorporeal membrane oxygenation
    • Right ventricular dysfunction

    ASJC Scopus subject areas

    • Surgery
    • Pulmonary and Respiratory Medicine
    • Cardiology and Cardiovascular Medicine

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