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Use of Venovenous Extracorporeal Membrane Oxygenation as a Bridge to Urgent Lung Transplantation in a Case of Acute Respiratory Failure

2009; Elsevier BV; Volume: 41; Issue: 4 Linguagem: Inglês

10.1016/j.transproceed.2009.02.065

1873-2623

L. Santambrogio, Mario Nosotti, A. Palleschi, Davide Tosi, Paolo Mendogni, Alfredo Lissoni, Francesco Blasi, Lorenzo Rosso,

Organ Transplantation Techniques and Outcomes

Several transplant centers consider pretransplant extracorporeal membrane oxygenation (ECMO) as a contraindication for lung transplantation because of the poor outcomes. However, some technical improvements have changed the scenario; there is increasing evidence of ECMO efficacy as a bridge to lung transplantation. This report describes the successful use of venovenous ECMO as a bridge to an urgent bilateral lung transplantation and as treatment for primary graft dysfunction in a case of hyperacute pulmonary fibrosis in a 58-year-old man. Our experience demonstrated that ECMO, using Quadrox, supported respiratory functions for 28 days without any detrimental effects, serving as a successfully bridge to urgent lung transplantation.