Extracorporeal Membrane Oxygenation as a Bridge to Initial Medical Therapy in a Patient With Decompensated Pulmonary Arterial Hypertension Presenting With Biventricular Failure.

Authors

• Donovan Mabe
• Oksana A Shlobin
• Linda Bogar
• Steven D Nathan
• A Whitney Brown
• Kareem Ahmad
• Shambhu Aryal
• Charles Murphy
• Christopher S King

Publication/Presentation Date

9-1-2019

Abstract

Extracorporeal membrane oxygenation (ECMO) can be used as a bridge to medical therapy in decompensated right heart failure due to pulmonary arterial hypertension (PAH). A middle-aged man with previously undiagnosed pulmonary hypertension was successfully bridged to intravenous prostanoid therapy with venoarterial ECMO support after presenting with cardiogenic shock and hypoxemic respiratory failure. Although the patient initially had biventricular failure, PAH was suspected due to underlying mixed connective tissue disease and disproportionate right ventricular dysfunction. On occasion, patients with PAH may present with biventricular failure. A high index of suspicion for PAH and serial reassessment of left ventricular function following correction of shock may demonstrate improvement in left ventricular function, allowing for initiation of pulmonary vasodilator therapy.

Volume

10

Issue

9

First Page

260

Last Page

263

ISSN

1923-4155

Published In/Presented At

Mabe, D., Shlobin, O. A., Bogar, L., Nathan, S. D., Brown, A. W., Ahmad, K., Aryal, S., Murphy, C., & King, C. S. (2019). Extracorporeal Membrane Oxygenation as a Bridge to Initial Medical Therapy in a Patient With Decompensated Pulmonary Arterial Hypertension Presenting With Biventricular Failure. Journal of medical cases, 10(9), 260–263. https://doi.org/10.14740/jmc3327

Disciplines

Medicine and Health Sciences

PubMedID

34434318

Department(s)

Department of Medicine

Document Type

Article