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KMID : 0604020140290030207
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Korean Journal of Critical Care Medicine
2014 Volume.29 No. 3 p.207 ~ p.211
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Dual Extracorporeal Membrane Oxygenation Support for Bridging Lung Transplantation in Acute Exacerbation of Idiopathic Pulmonary Fibrosis
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Kim Dong-Jung
Lee Yeon-Joo
Kim Jun-Sung
Park Sang-Heon
Cho Young-Jae
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Abstract
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When patients with severe respiratory failure are treated with venovenous extracorporeal membrane oxygenation (VV-ECMO), severe pulmonary hypertension due to right ventricular (RV) failure is possible. This is a serious complication that requires immediate therapeutic intervention. We report an extraordinary experience of additional venoarterial extracorporeal membrane oxygenation (VA-ECMO) support for RV failure in a patient who was being treated with VV-ECMO as a bridge to lung transplantation. A 61-year-old man was diagnosed with acute exacerbation of idiopathic pulmonary fibrosis. While waiting for lung transplantation, he was placed on VV-ECMO and developed RV failure. After insertion of additional VA ECMO, RV dysfunction was dramatically improved. He underwent heart-lung transplantation after 23 days of dual ECMO support.
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KEYWORD
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extracorporeal membrane oxygenation, lung transplantatio, , right ventricular dysfunction
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