Prague Med. Rep. 2012, 113, 299-302

https://doi.org/10.14712/23362936.2015.14

Extracorporeal Membrane Oxygenation Used in a Massive Lung Bleeding Following Pulmonary Endarterectomy

Ivana Kolníková1, J. Kunstýř1, J. Lindner2, M. Lipš1, P. Kopecký1, J. Rulíšek1, J. Bělohlávek3, M. Balík1

1Department of Anesthesiology and Intensive Care, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Prague, Czech Republic
22nd Department of Surgery – Department of Cardiovascular Surgery, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Prague, Czech Republic
32nd Department of Medicine – Department of Cardiovascular Medicine, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Prague, Czech Republic

Received March 9, 2012
Accepted October 10, 2012

The authors present a case of massive lung bleeding following pulmonary endarterectomy (PEA) that was treated with peripheral veno-venous extracorporeal membrane oxygenation (VV ECMO). The patient repeatedly underwent bronchoscopy for airway blood clot obstruction and finally was successfully weaned off the support. The authors discuss the indications for ECMO in treatment of the most serious complications following PEA, and emphasize the importance of echocardiographic evaluation of the right ventricular function in relation to the indicated type of extracorporeal support. Anticoagulation strategy for patients shortly after the major surgery connected to ECMO is also discussed.

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