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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
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Publikationsverlauf

16. Januar 2011
07. Februar 2011

08. Februar 2011

Publikationsdatum:
25. März 2011 (online)

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Erratum zu diesem Artikel:

Successful Weaning from Extracorporal Circulation Using a Pumpless Extracorporal Lung Assist Device in a Patient with Intraoperative Hypercapnic Lung Failure during Aortic Valve ReplacementThorac Cardiovasc Surg 2012; 60(04): e1-e1
DOI: 10.1055/s-0030-1271163

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.

Key words

airway (includes related subject matter) - extracorporeal membrane oxygenation, ECMO - pulmonary function

* Both authors contributed equally to this work.


 

  • References

  • 1 Louagie Y, Gonzalez E, Jamart J, Bulliard G, Schoevaerdts JC. Postcardiopulmonary bypass lung edema. A preventable complication?. Chest 1993; 103: 86-95
    CrossrefPubMedGoogle Scholar
  • 2 Koch C, Li L, Figueroa P , et al. Transfusion and pulmonary morbidity after cardiac surgery. Ann Thorac Surg 2009; 88: 1410-1418
    CrossrefPubMedGoogle Scholar
  • 3 Meyer AL, Strueber M, Tomaszek S , et al. Temporary cardiac support with a mini-circuit system consisting of a centrifugal pump and a membrane ventilator. Interact Cardiovasc Thorac Surg 2009; 9 (5) 780-783 Epub 2009 Aug 11. PubMed PMID: 19671580
    CrossrefPubMedGoogle Scholar
  • 4 Lindstrom SJ, Pellegrino VA, Butt WW. Extracorporeal membrane oxygenation. Med J Aust 2009; 191 (3) 178-182
    PubMedGoogle Scholar
  • 5 Doll N, Fabricius A, Borger MA , et al. Temporary extracorporeal membrane oxygenation in patients with refractory postoperative cardiogenic shock – a single center experience. J Card Surg 2003; 18 (6) 512-518
    CrossrefPubMedGoogle Scholar
  • 6 Florchinger B, Philipp A, Klose A , et al. Pumpless extracorporeal lung assist: a 10-year institutional experience. Ann Thorac Surg 2008; 86: 410-417
    CrossrefPubMedGoogle Scholar