Peripheral femoral venoarterial extracorporeal membrane oxygenation as bridge to heart-lung transplant omne iter incipit primus.

Heart-lung transplant (HLT) is a widely accepted modality for certain patients with advanced and refractory cardiopulmonary disease. Some of these patients are critically ill on the transplant waiting list, and venoarterial extracorporeal membrane oxygenation (VA-ECMO) can be used as a bridge to tra...

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Detalles Bibliográficos
Publicado en:	Journal of Cardiac Surgery Vol. 35; no. 8; pp. 2077 - 2081
Autores principales:	Orozco‐Hernandez, Erik J., Melnikoff, Brett, Lusby, Megan, Tallaj, Jose, Hoopes, Charles W., Orozco-Hernandez, Erik J
Formato:	case study Journal Article
Publicado:	Wiley-Blackwell Aug2020
Acceso en línea:	Ver este registro en EBSCOhost

Descripción
Sumario:	Heart-lung transplant (HLT) is a widely accepted modality for certain patients with advanced and refractory cardiopulmonary disease. Some of these patients are critically ill on the transplant waiting list, and venoarterial extracorporeal membrane oxygenation (VA-ECMO) can be used as a bridge to transplantation. Although the experience with ECMO as a bridge to lung transplant is promising, there is limited evidence to use ECMO as a bridge to HLT. Femoral cannulation remains a concern for ambulation given the risk of bleeding and cannula complications despite studies reporting its safety. We present a case of a 56-year-old male with interstitial lung disease and severe secondary pulmonary hypertension, who was successfully bridged to HLT with ambulatory femoral VA-ECMO.