Department of Surgery, Division of Thoracic Surgery, Gainesville, FL, USA.
Lung Transplant and ECMO Program, Division of Pulmonary, Critical and Sleep Medicine, Gainesville, FL, USA.
Ann Card Anaesth. 2024 Oct 1;27(4):375-378. doi: 10.4103/aca.aca_24_24. Epub 2024 Oct 4.
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.
我们报告了一例 61 岁患者，患有肺动脉高压、急性呼吸衰竭和急性严重右心室（RV）功能障碍。术前，为患者插入了 ProtekDuo®，以进行体外膜肺氧合（ECMO）和 RV 保护，采用静脉-肺（VP）ECMO 配置。术中，在双侧原位肺移植（BOLT）中，它为静脉-动脉（VA）ECMO 提供了静脉引流，采用（dl）VP-/AO 配置。术后，患者仍在（dl）VP-ECMO 上接受 RV 支持，5 天后 RV 功能轻度障碍时拔管。这是首例在 BOLT 整个围手术期内，将 ProtekDuo®用于（dl）VP 至（dl）VP-/AO 至（dl）VP 的描述。
