Venoarteriovenous ECMO in Concomitant Acute Respiratory Distress Syndrome and Cardiomyopathy Associated with COVID-19 Infection
In the most severe cases, novel coronavirus (SARS-CoV-2) infection leads to Acute Respiratory Distress Syndrome which may be refractory to standard medical interventions including mechanical ventilation. There are growing reports of the use of venovenous (VV) extracorporeal membrane oxygenation (ECM...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2021/8848013 |
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| author | Zachary R. Bergman Saranya Prathibha Brent D. Bauman Demetris Yannopoulos Melissa E. Brunsvold |
| author_facet | Zachary R. Bergman Saranya Prathibha Brent D. Bauman Demetris Yannopoulos Melissa E. Brunsvold |
| author_sort | Zachary R. Bergman |
| collection | DOAJ |
| description | In the most severe cases, novel coronavirus (SARS-CoV-2) infection leads to Acute Respiratory Distress Syndrome which may be refractory to standard medical interventions including mechanical ventilation. There are growing reports of the use of venovenous (VV) extracorporeal membrane oxygenation (ECMO) in these cases. A subset of critically ill COVID-19 patients develops cardiomyopathy as well, manifested by cardiogenic shock with reduced ejection fraction, dysrhythmias, and subsequent increase in mortality. One strategy for managing ARDS with an element of cardiogenic shock is venoarteriovenous (VAV) ECMO. Less than 1% of the cases in the worldwide ELSO COVID-19 database employed any form of hybrid cannulation. To date, there has only been one reported case of patient salvage with arterial or partial arterial support. We present a case that demonstrates the potential role of VAV ECMO in the case of concomitant severe ARDS with cardiomyopathy in the setting of COVID-19 infection. |
| format | Article |
| id | doaj-art-503b78bb8a0b4ad59b5f342c19dfc41b |
| institution | Kabale University |
| issn | 2090-6420 2090-6439 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-503b78bb8a0b4ad59b5f342c19dfc41b2025-02-03T00:58:50ZengWileyCase Reports in Critical Care2090-64202090-64392021-01-01202110.1155/2021/88480138848013Venoarteriovenous ECMO in Concomitant Acute Respiratory Distress Syndrome and Cardiomyopathy Associated with COVID-19 InfectionZachary R. Bergman0Saranya Prathibha1Brent D. Bauman2Demetris Yannopoulos3Melissa E. Brunsvold4Department of Surgery, University of Minnesota, Minneapolis, MN, USADepartment of Surgery, University of Minnesota, Minneapolis, MN, USADepartment of Surgery, Division of Acute Care Surgery and Critical Care, University of Minnesota, Minneapolis, MN, USADepartment of Internal Medicine, University of Minnesota, Minneapolis, MN, USADepartment of Surgery, Division of Acute Care Surgery and Critical Care, University of Minnesota, Minneapolis, MN, USAIn the most severe cases, novel coronavirus (SARS-CoV-2) infection leads to Acute Respiratory Distress Syndrome which may be refractory to standard medical interventions including mechanical ventilation. There are growing reports of the use of venovenous (VV) extracorporeal membrane oxygenation (ECMO) in these cases. A subset of critically ill COVID-19 patients develops cardiomyopathy as well, manifested by cardiogenic shock with reduced ejection fraction, dysrhythmias, and subsequent increase in mortality. One strategy for managing ARDS with an element of cardiogenic shock is venoarteriovenous (VAV) ECMO. Less than 1% of the cases in the worldwide ELSO COVID-19 database employed any form of hybrid cannulation. To date, there has only been one reported case of patient salvage with arterial or partial arterial support. We present a case that demonstrates the potential role of VAV ECMO in the case of concomitant severe ARDS with cardiomyopathy in the setting of COVID-19 infection.http://dx.doi.org/10.1155/2021/8848013 |
| spellingShingle | Zachary R. Bergman Saranya Prathibha Brent D. Bauman Demetris Yannopoulos Melissa E. Brunsvold Venoarteriovenous ECMO in Concomitant Acute Respiratory Distress Syndrome and Cardiomyopathy Associated with COVID-19 Infection Case Reports in Critical Care |
| title | Venoarteriovenous ECMO in Concomitant Acute Respiratory Distress Syndrome and Cardiomyopathy Associated with COVID-19 Infection |
| title_full | Venoarteriovenous ECMO in Concomitant Acute Respiratory Distress Syndrome and Cardiomyopathy Associated with COVID-19 Infection |
| title_fullStr | Venoarteriovenous ECMO in Concomitant Acute Respiratory Distress Syndrome and Cardiomyopathy Associated with COVID-19 Infection |
| title_full_unstemmed | Venoarteriovenous ECMO in Concomitant Acute Respiratory Distress Syndrome and Cardiomyopathy Associated with COVID-19 Infection |
| title_short | Venoarteriovenous ECMO in Concomitant Acute Respiratory Distress Syndrome and Cardiomyopathy Associated with COVID-19 Infection |
| title_sort | venoarteriovenous ecmo in concomitant acute respiratory distress syndrome and cardiomyopathy associated with covid 19 infection |
| url | http://dx.doi.org/10.1155/2021/8848013 |
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