Open AccessAcute Cor Pulmonale in Veno-Venous Extracorporeal Membrane Oxygenation: Three Case Reports
Author(s) -
Erik Dong,
David Ng,
Danny Ramzy,
Joshua Chung,
Oren Friedman,
Alain Combes,
Francisco A. Arabía,
Michael Nurok
Publication year - 2018
Publication title -
asaio journal
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.961
H-Index - 66
eISSN - 1538-943X
pISSN - 1058-2916
DOI - 10.1097/mat.0000000000000742
Subject(s) - medicine , extracorporeal membrane oxygenation , ards , hypoxemia , acute respiratory distress , oxygenation , cardiology , intensive care unit , cannula , anesthesia , lung , surgery
A retrospective review of three patients with acute respiratory distress syndrome (ARDS) and normal baseline right ventricular function admitted to the Cardiac Surgery Intensive Care Unit whom developed acute cor pulmonale while on veno-venous extracorporeal membrane oxygenation. These patients were diagnosed with ARDS using Berlin Criteria definitions and cannulated with a dual lumen (Avalon) cannula. Despite variations in history, presentation, and course, findings of acute cor pulmonale were encountered 4 to 6 weeks after extracorporeal membrane oxygenation cannulation. The potential mechanisms include thromboembolic burden to the pulmonary vasculature, hypoxemia, acidosis, the pathologic progression of ARDS, and chronic nonphysiologic flow to the right heart.