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Treatment of Pulmonary Hypertensive Crisis Using ECMO - A Case Report -  

최재성 (서울대학교병원 흉부외과, 서울대학교 의과대학 흉부외과학교실)
김기봉 (서울대학교병원 흉부외과, 서울대학교 의과대학 흉부외과학교실)
Publication Information
Journal of Chest Surgery / v.35, no.9, 2002 , pp. 664-667 More about this Journal
Abstract
Extracorporeal membrane oxygenation(ECMO) provides stable oxygenation to prevent elevation of pulmonary vascular resistance and bypasses a significant part of cardiac output to the pulmonary vascular bed to reduce pulmonary perfusion pressure. In addition, ECMO prevents right heart failure and low cardiac output by means of ventricular assist and reduction in volume load to right ventricle. As a result, ECMO can be used for the treatment of pulmonary hypertensive crisis after surgery for congenital heart disease, especially when it is refractory to conventional measures. We report a case of postoperative pulmonary hypertensive crisis, developed in a 37-year-old male with patent ductus arteriosus with secondary pulmonary hypertension, which was successfully managed including ECMO.
Keywords
Extracorporeal membrane oxygenation; Pulmonary hypertensive crisis;
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