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KMID : 0191120130280060962
Journal of Korean Medical Science
2013 Volume.28 No. 6 p.962 ~ p.964
Extracorporeal Membrane Oxygenation for Acute Life-Threatening Neurogenic Pulmonary Edema following Rupture of an Intracranial Aneurysm
Hwang Gyo-Jun

Sheen Seung-Hun
Kim Hyoung-Soo
Lee Hee-Sung
Lee Tae-Hun
Gim Gi-Ho
Hwang Sung-Mi
Lee Jae-Jun
Abstract
Neurogenic pulmonary edema (NPE) leading to cardiopulmonary dysfunction is a potentially life-threatening complication in patients with central nervous system lesions. This case report describes a 28-yr woman with life-threatening fulminant NPE, which was refractory to conventional respiratory treatment, following the rupture of an aneurysm. She was treated successfully with extracorporeal membrane oxygenation (ECMO), although ECMO therapy is generally contraindicated in neurological injuries such as brain trauma and diseases that are likely to require surgical intervention. The success of this treatment suggests that ECMO therapy should not be withheld from patients with life-threatening fulminant NPE after subarachnoid hemorrhage.
KEYWORD
Extracorporeal Membrane Oxygenation, Pulmonary Edema, Subarachnoid Hemorrhage
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