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

Ann Card Anaesth. 2024 Oct 1;27(4):375-378. doi: 10.4103/aca.aca_24_24. Epub 2024 Oct 4.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Cannula
  • Extracorporeal Membrane Oxygenation* / methods
  • Humans
  • Hypertension, Pulmonary / complications
  • Hypertension, Pulmonary / surgery
  • Lung Transplantation* / methods
  • Male
  • Middle Aged
  • Postoperative Care / methods
  • Preoperative Care / methods
  • Respiratory Insufficiency / therapy
  • Ventricular Dysfunction, Right / etiology