Fatal pulmonary hemorrhage due to severe mitral regurgitation during venoarterial extracorporeal membrane oxygenation

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 insu...

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Bibliographic Details
Published in:Saudi journal of anaesthesia 2020-04, Vol.14 (2), p.253-256
Main Authors: Gerstein, Neal, Freeman, Joseph, Mitchell, Jessica, Cronin, Brett
Format: Article
Language:English
Subjects:
Aortic valve insufficiency
Cardiogenic shock
Case Report
Child health
echocardiography
pulmonary hemorrhage
venoarterial extracorporeal membrane oxygenation
Edema
Etiology
Extracorporeal membrane oxygenation
Heart attack
Heart failure
Hemorrhage
Hypertension
Laboratories
Mitral valve insufficiency
Patients
Pediatrics
Shock
Veins & arteries
Ventilators
Citations: Items that this one cites
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Description
Summary: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.
ISSN:1658-354X
0975-3125
DOI:10.4103/sja.SJA_773_19