Thorac Cardiovasc Surg 2012; 60(04): 299-301
DOI: 10.1055/s-0030-1270945
Case Reports
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Successful Weaning from Extracorporal Circulation Using a Pumpless Extracorporal Lung Assist Device in a Patient with Intraoperative Hypercapnic Lung Failure during Aortic Valve Replacement

M. Wilbring*
1  Department for Cardiac Surgery, Center for Cardiology and Cardiovascular Surgery, Hamburg, Germany
,
M. Petzoldt*
2  Department for Anesthesiology, Center for Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
,
H. Gulbins
1  Department for Cardiac Surgery, Center for Cardiology and Cardiovascular Surgery, Hamburg, Germany
,
A. E. Goetz
2  Department for Anesthesiology, Center for Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
,
H. Reichenspurner
1  Department for Cardiac Surgery, Center for Cardiology and Cardiovascular Surgery, Hamburg, Germany
› Author Affiliations
Further Information

Publication History

16 January 2011
07 February 2011

08 February 2011

Publication Date:
25 March 2011 (online)

Abstract

We present a case of a 59-year-old female suffering from massive pulmonary edema with consecutive hypercapnic lung failure immediately following elective aortic valve replacement. Due to severe restrictive ventilation disorder, mechanical ventilation was inadequate. A pumpless lung assist (PECLA, iLA, Novalung®, Talheim, Germany) – a device for extracorporeal carbon dioxide elimination – was used for successful weaning from extracorporeal circulation (ECC). Within 24 hours respiratory function had normalized and the patient could be extubated. The further clinical course and follow-up at 3 months remained uneventful. This report describes the first intraoperative use of the PECLA device in a cardiac surgery patient to promote weaning from ECC.

* Both authors contributed equally to this work.