Venovenous extracorporeal membrane oxygenation in patients with atrial septal defects

Two patients presented in profound respiratory distress unresponsive to maximal support and were placed on venovenous ECMO. Subsequently, both were found to have a patent foramen ovale and high pulmonary artery pressures, resulting in a right to left shunt. Both patients had a better than expected r...

Full description

Saved in:
Bibliographic Details
Published in:Perfusion 2015-07, Vol.30 (5), p.400-402
Main Authors: Julliard, W, Niles, SD, Maloney, JD
Format: Article
Language:English
Subjects:
Adult
Aged
Arterial Pressure
Extracorporeal Membrane Oxygenation - methods
Female
Foramen Ovale, Patent - etiology
Foramen Ovale, Patent - physiopathology
Foramen Ovale, Patent - therapy
Humans
Male
Pulmonary Artery - physiopathology
Respiratory Distress Syndrome, Adult - etiology
Respiratory Distress Syndrome, Adult - physiopathology
Respiratory Distress Syndrome, Adult - therapy
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Two patients presented in profound respiratory distress unresponsive to maximal support and were placed on venovenous ECMO. Subsequently, both were found to have a patent foramen ovale and high pulmonary artery pressures, resulting in a right to left shunt. Both patients had a better than expected response to ECMO, likely related to their shunts allowing oxygenated blood to bypass the high pulmonary artery pressures and go directly to the left heart. Both patients were successfully weaned from ECMO and discharged to home in good condition.
ISSN:0267-6591
1477-111X
DOI:10.1177/0267659114550233