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KMID : 1144420190340020158
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Acute and Critical Care
2019 Volume.34 No. 2 p.158 ~ p.164
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Central Extracorporeal Membrane Oxygenation and Early Rehabilitation for Persistent Severe Pulmonary Hypertension Following Pulmonary Endarterectomy
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Seong Gil-Myeong
Hong Sang-Bum
Huh Jin-Won
Lim Chae-Man
Koh Youn-Suck
Lee Jae-Won
Jung Sung-Ho
Park Duck-Woo
Lee Jae-Seung
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Abstract
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Chronic thromboembolic pulmonary hypertension is potentially curable with a pulmonary endarterectomy. However, approximately 20% of patients have persistent pulmonary hypertension after pulmonary endarterectomy, which is a major risk factor for postoperative death. Here, we report a 34-year-old woman who suffered persistent severe pulmonary hypertension following a successful pulmonary endarterectomy for chronic thromboembolic pulmonary hypertension. Extracorporeal membrane oxygenation (ECMO) and atrial septostomy were successfully performed as rescue treatments, and active rehabilitation during ECMO was prescribed to facilitate recovery.
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KEYWORD
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endarterectomy, extracorporeal membrane oxygenation, hypertension, pulmonary, rehabilitation
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