ProtekDuo Cannula for Pre-, Intra-, and Postoperative Lung Transplantation Management

We present a 61-year-old patient with pulmonary hypertension, acute respiratory failure, and acute severe right ventricular (RV) dysfunction. Preoperatively, a ProtekDuo® was inserted for extracorporeal membrane oxygenation (ECMO) and RV protection with venopulmonary (VP) ECMO in (dl) V-P ECMO confi...

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Bibliographic Details
Published in:Annals of cardiac anaesthesia 2024-10, Vol.27 (4), p.375-378
Main Authors: Ricks, William A, Rackauskas, Mindaugas, Weir, William B, Emtiazjoo, Amir M, Saha, Biplab K, Gries, Cynthia J, Maybauer, Marc O
Format: Article
Language:English
Subjects:
Acute respiratory distress syndrome
Case Report
ecls
ecmo
extracorporeal life support
extracorporeal membrane oxygenation
lung transplantation
protekduo
Pulmonary hypertension
rvad
Transplantation of organs, tissues, etc
Treprostinil
venopulmonary
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Summary:We present a 61-year-old patient with pulmonary hypertension, acute respiratory failure, and acute severe right ventricular (RV) dysfunction. Preoperatively, a ProtekDuo® was inserted for extracorporeal membrane oxygenation (ECMO) and RV protection with venopulmonary (VP) ECMO in (dl) V-P ECMO configuration. Intraoperatively, it provided venous drainage for venoarterial (VA) ECMO in (dl) VP-/AO configuration for bilateral orthotopic lung transplantation (BOLT). Postoperatively, the patient remained on (dl) V-P ECMO for RV support and was decannulated with mild RV dysfunction after 5 days. This is the first description of the ProtekDuo® used in (dl) V-P to (dl) VP-/AO to (dl) V-P configuration for the entire perioperative period of BOLT.
ISSN:0971-9784
0974-5181
DOI:10.4103/aca.aca_24_24