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Case Reports
Prolonged extracorporeal membrane oxygenation and circulatory support as bridge to lung transplant.
- Michael Broomé, Kenneth Palmér, Henrik Scherstén, Björn Frenckner, and Folke Nilsson.
- ECMO Department, Karolinska University Hospital, Stockholm, Sweden. michael.broome@karolinska.se
- Ann. Thorac. Surg. 2008 Oct 1;86(4):1357-60.
AbstractA 38-year-old man with progressive alveolitis secondary to polymyositis was treated for 52 days with venovenous and venoarterial extracorporeal membrane oxygenation as a bridge to bilateral lung transplantation. The patient survived, despite multiple complications, and is now back home with good pulmonary function. He is working part-time nearly 3 years post-transplant. This case shows that long-term extracorporeal lung assist is a viable but demanding alternative for bridging patients to pulmonary transplantation. This case also shows that right ventricular failure necessating conversion to veno-arterial assist does not necessarily predict right ventricular failure post-transplant.
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