Open AccessFatal pulmonary hemorrhage due to severe mitral regurgitation during venoarterial extracorporeal membrane oxygenation
Author(s) -
Neal S. Gerstein,
J. J. Freeman,
Jessica Mitchell,
Brett Cronin
Publication year - 2020
Publication title -
saudi journal of anaesthesia
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.416
H-Index - 24
eISSN - 1658-354X
pISSN - 0975-3125
DOI - 10.4103/sja.sja_773_19
Subject(s) - medicine , extracorporeal membrane oxygenation , cardiogenic shock , cardiology , mitral regurgitation , context (archaeology) , myocardial infarction , heart failure , ventricle , pulmonary hemorrhage , shock (circulatory) , lung , paleontology , biology
Pulmonary hemorrhage (PH) during venoarterial extracorporeal membrane oxygenation (VA-ECMO) has been primarily reported in pediatric patients. We report a case of fatal PH during VA-ECMO for cardiogenic shock after myocardial infarction (MI). PH, in this case, was secondary to a triad of aortic insufficiency, left ventricle distension, and severe laminar mitral regurgitation. This case scenario, previously unreported in adults, illustrates the need for the echocardiographic assessment of left-sided heart valves prior to VA-ECMO initiation after MI as well as management considerations for massive PH in this context.