Dual-outflow extracorporeal membrane oxygenation support in secondary
right ventricular failure
- Florian Hecker,
- Harald Keller,
- Ina Ischewski,
- Mariuca Vasa-Nicotera,
- Sonja Iken,
- Tomas Holubec
Harald Keller
Hospital of the Goethe University Frankfurt
Author ProfileIna Ischewski
Hospital of the Goethe University Frankfurt
Author ProfileMariuca Vasa-Nicotera
Hospital of the Goethe University Frankfurt
Author ProfileTomas Holubec
Hospital of the Goethe University Frankfurt
Author ProfileAbstract
Acute-on-chronic right ventricular failure has a tremendously high
mortality rate and pulmonary artery hypertension plays a major role in
the progression of secondary right ventricular failure. Here, we report
a case of drug-refractory acute-on-chronic right ventricular failure due
to primary artery hypertension and a two-step approach of a percutaneous
dual-outflow extracorporeal membrane oxygenation support set-up
implanted under on-going mechanical resuscitation for immediate
biventricular support with a consequent downgrade to right ventricular
assist device after left ventricular recompensation.