Oxygenator in short-term LVAD circuit: a rescue in post-LVAD pulmonary complications

Pulmonary complications after left ventricular assist device (LVAD) implantation, though infrequent, can be potentially catastrophic. A 62-year-old female with cardiogenic shock, supported on short-term LVAD, developed pulmonary oedema. An oxygenator was introduced into the LVAD circuit, which impro...

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Bibliographic Details
Published in:Perfusion 2016-10, Vol.31 (7), p.608-610
Main Authors: Mohite, Prashant N, Patil, Nikhil P, Popov, Aron-Frederik, Bahrami, Toufan, Simon, Andre R
Format: Article
Language:English
Subjects:
Extracorporeal Membrane Oxygenation - instrumentation
Extracorporeal Membrane Oxygenation - methods
Female
Heart-Assist Devices - adverse effects
Humans
Middle Aged
Oxygenators
Prosthesis Implantation - adverse effects
Prosthesis Implantation - instrumentation
Prosthesis Implantation - methods
Pulmonary Edema - etiology
Pulmonary Edema - therapy
Shock, Cardiogenic - complications
Shock, Cardiogenic - surgery
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Summary:Pulmonary complications after left ventricular assist device (LVAD) implantation, though infrequent, can be potentially catastrophic. A 62-year-old female with cardiogenic shock, supported on short-term LVAD, developed pulmonary oedema. An oxygenator was introduced into the LVAD circuit, which improved the gas exchange and, eventually, after weaning off the oxygenator, the patient received long-term LVAD. The introduction of an oxygenator into the short-term LAVD circuit is a lifesaving manoeuvre in such a situation. It offers freedom of introducing and removing the oxygenator into the LVAD circuit without opening the chest and competing for LVAD flow.
ISSN:0267-6591
1477-111X
DOI:10.1177/0267659115627691