Heartlink ECMO Centre, Glenfield Hospital, Leicester, UK.
Perfusion. 2020 May;35(4):356-359. doi: 10.1177/0267659119874696. Epub 2019 Oct 8.
Unilateral right pulmonary edema has been reported as a potential life-threatening complication after minimally invasive mitral valve surgery. Nearly 2% of these cases in the immediate postoperative period have been reported to require extra-corporeal membrane oxygenation support as a rescue therapy for severe hypoxia. The exact pathophysiology of this condition remains unclear, but has been assumed to be related to ischemia-reperfusion injury and re-expansion pulmonary edema. We present in this report the successful use of extra-corporeal membrane oxygenation to manage two cases of severe hypoxia and multiorgan dysfunction secondary to unilateral right pulmonary edema.
单侧右侧肺水肿是微创二尖瓣手术后一种潜在的危及生命的并发症。在术后即刻，报告称近 2%的这些病例需要体外膜氧合支持作为严重缺氧的抢救治疗。这种情况的确切病理生理学尚不清楚，但据认为与缺血再灌注损伤和再膨胀性肺水肿有关。我们在此报告中成功使用体外膜氧合治疗两例因单侧右侧肺水肿导致的严重缺氧和多器官功能障碍。
