Venovenous Extracorporeal Membrane Oxygenation With Atrial Septostomy as a Bridge to Lung Transplantation

Zachary N Kon; Chetan Pasrija; Aakash Shah; Bartley P Griffith; Jose P Garcia

doi:10.1016/j.athoracsur.2015.03.127

Venovenous Extracorporeal Membrane Oxygenation With Atrial Septostomy as a Bridge to Lung Transplantation

Ann Thorac Surg. 2016 Mar;101(3):1166-9. doi: 10.1016/j.athoracsur.2015.03.127.

Authors

Zachary N Kon¹, Chetan Pasrija², Aakash Shah², Bartley P Griffith², Jose P Garcia³

Affiliations

¹ Division of Cardiac Surgery, University of Maryland School of Medicine, Baltimore, Maryland. Electronic address: [email protected].
² Division of Cardiac Surgery, University of Maryland School of Medicine, Baltimore, Maryland.
³ Division of Cardiac Surgery, Massachusetts General Hospital, Boston, Massachusetts.

PMID: 26897198
DOI: 10.1016/j.athoracsur.2015.03.127

Abstract

We report the first successful bridge to lung transplantation using venovenous extracorporeal membrane oxygenation (ECMO) with an atrial septostomy for both pulmonary and right ventricular support. This strategy may provide an alternative to other forms of ECMO support as a bridge to lung transplantation, and potentially allow for ambulation and rehabilitation.

Publication types

Case Reports
Review

MeSH terms

Adult
Atrial Septum / diagnostic imaging
Atrial Septum / surgery*
Cardiac Catheterization / methods*
Critical Illness
Disease Progression
Echocardiography, Transesophageal / methods
Extracorporeal Membrane Oxygenation / methods*
Follow-Up Studies
Hermanski-Pudlak Syndrome / diagnosis
Humans
Lung Transplantation / methods*
Male
Preoperative Care / methods
Pulmonary Fibrosis / diagnostic imaging
Pulmonary Fibrosis / surgery*
Respiratory Insufficiency / physiopathology
Respiratory Insufficiency / surgery*
Severity of Illness Index
Tomography, X-Ray Computed / methods
Treatment Outcome
Waiting Lists