TY - JOUR AU - Wilbring, M.; Petzoldt, M.; Gulbins, H.; Goetz, A. E.; Reichenspurner, H. TI - Successful Weaning from Extracorporal Circulation Using a Pumpless Extracorporal Lung Assist Device in a Patient with Intraoperative Hypercapnic Lung Failure during Aortic Valve Replacement SN - 0171-6425 SN - 1439-1902 PY - 2012 JO - Thorac Cardiovasc Surg JF - The Thoracic and Cardiovascular Surgeon LA - EN VL - 60 IS - 04 SP - 299 EP - 301 ET - 2011/03/25 DA - 2012/06/18 KW - airway (includes related subject matter) KW - extracorporeal membrane oxygenation, ECMO KW - pulmonary function AB - 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. PB - Thieme Medical Publishers DO - 10.1055/s-0030-1270945 UR - http://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0030-1270945 ER -