Document Detail


Veno-venous extracorporeal membrane oxygenation bridging to pharmacotherapy in pulmonary arterial hypertensive crisis.
MedLine Citation:
PMID:  20417127     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
We report the case of a treatment-naive patient with pulmonary arterial hypertension who presented with decompensated right ventricular failure and cardiogenic shock. Unstable hemodynamics, hypoxia and end-organ hypoperfusion limited up-titration of pharmacotherapy. Mechanical circulatory support with veno-venous extracorporeal membrane oxygenation (VV-ECMO) was initiated to permit dose titration of pulmonary vasodilator therapy. VV-ECMO was weaned after 10 days of support, with successful transition to intravenous epoprostenol and oral sildenafil.
Authors:
Mukta C Srivastava; Gautam V Ramani; Jose P Garcia; Bartley P Griffith; Patricia A Uber; Myung H Park
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Publication Detail:
Type:  Journal Article     Date:  2010-04-22
Journal Detail:
Title:  The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation     Volume:  29     ISSN:  1557-3117     ISO Abbreviation:  J. Heart Lung Transplant.     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9102703     Medline TA:  J Heart Lung Transplant     Country:  United States    
Other Details:
Languages:  eng     Pagination:  811-3     Citation Subset:  IM    
Affiliation:
Division of Cardiology, University of Maryland, Baltimore, MD, USA.
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