• Perfusion · Nov 2010

    Case Reports

    Double ECMO in severe ARDS: report of an outstanding case and literature review.

    • Jens Litmathe and Otto Dapunt.
    • Department of Thoracic and Cardiovascular Surgery, Klinikum Oldenburg, Oldenburg, Germany. jens-litmathe@t-online.de
    • Perfusion. 2010 Nov 1;25(6):363-7.

    AbstractWe report on a 49-year-old male patient who suffered from severe herpes simplex (HSV) pneumonia after a fall-from-height injury, causing a circumscript type B aortic dissection.The subsequent occurrence of ARDS required a veno-venous ECMO circuit that was upgraded to a veno-arterial system due to further oxygenation deficits. Following continued respiratory deterioration, the ECMO system already in place had to be complemented by a second veno-arterial line. After the onset of recovery and because of a developing of a disseminated intravasal coagulation, the double ECMO circuit was replaced by a pumpless extracorporeal lung assist system (PECLA). The patient recovered completely under systemic virostatic therapy.

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