Simple equations to predict the effects of veno-venous ECMO in decompensated Eisenmenger syndrome.

Details

Serval ID
serval:BIB_33DDF1AF8498
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Simple equations to predict the effects of veno-venous ECMO in decompensated Eisenmenger syndrome.
Journal
ESC heart failure
Author(s)
Bonnemain J., Auberson D., Rutz T., Yerly P., Aubert J.D., Roumy A., Pantet O., Rusca M., Liaudet L., Piquilloud L.
ISSN
2055-5822 (Electronic)
ISSN-L
2055-5822
Publication state
Published
Issued date
04/2021
Peer-reviewed
Oui
Volume
8
Number
2
Pages
1637-1642
Language
english
Notes
Publication types: Case Reports ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
Adult patients with uncorrected congenital heart diseases and chronic intracardiac shunt may develop Eisenmenger syndrome (ES) due to progressive increase of pulmonary vascular resistance, with significant morbidity and mortality. Acute decompensation of ES in conditions promoting a further increase of pulmonary vascular resistance, such as pulmonary embolism or pneumonia, can precipitate major arterial hypoxia and death. In such conditions, increasing systemic oxygenation with veno-venous extracorporeal membrane oxygenation (VV-ECMO) could be life-saving, serving as a bridge to treat a potential reversible cause for the decompensation, or to urgent lung transplantation. Anticipating the effects of VV-ECMO in this setting could ease the clinical decision to initiate such therapeutic strategy. Here, we present a series of equations to accurately predict the effects of VV-ECMO on arterial oxygenation in ES and illustrate this point by a case of ES decompensation with refractory hypoxaemia consecutive to an acute respiratory failure due to viral pneumonia.
Keywords
Adult, Eisenmenger Complex/complications, Eisenmenger Complex/diagnosis, Eisenmenger Complex/therapy, Extracorporeal Membrane Oxygenation, Humans, Pneumonia, Viral, Respiratory Distress Syndrome, ECMO, Eisenmenger syndrome, Extracorporeal membrane oxygenation, Hypoxaemia, Veno-venous
Pubmed
Web of science
Open Access
Yes
Create date
09/03/2021 15:36
Last modification date
07/07/2021 6:36
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