A patient with pulmonary hypertension waiting for donor lungs during the pandemic : 194 days on extracorporeal life support including 143 days on pulmonary artery to left atrium shunt
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023001%3A_____%2F22%3A00083450" target="_blank" >RIV/00023001:_____/22:00083450 - isvavai.cz</a>
Alternative codes found
RIV/00064165:_____/22:10436227 RIV/00064203:_____/22:10436227 RIV/00216208:11110/22:10436227 RIV/00216208:11130/22:10436227
Result on the web
<a href="https://www.sciencedirect.com/science/article/abs/pii/S1600613522000053?via%3Dihub" target="_blank" >https://www.sciencedirect.com/science/article/abs/pii/S1600613522000053?via%3Dihub</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1111/ajt.16949" target="_blank" >10.1111/ajt.16949</a>
Alternative languages
Result language
angličtina
Original language name
A patient with pulmonary hypertension waiting for donor lungs during the pandemic : 194 days on extracorporeal life support including 143 days on pulmonary artery to left atrium shunt
Original language description
Patients with pulmonary hypertension and end-stage lung disease are fraught with high mortality while on a waiting list for lung transplant. With sometimes rapid deterioration they may require veno-arterial extracorporeal membrane oxygenation (VA-ECMO) as an immediate life-saving technique, which is a time-limited solution. The technique of pulmonary artery to left atrium (PA-LA) shunt fitted with an oxygenator enables bridging the patient to transplant for a longer time period. This low-resistance paracorporeal pumpless lung assist device allows for de-adaptation of the right ventricle back to lower afterload before the lung transplantation is carried out. The PA-LA shunt with an oxygenator also conveys a risk of multiple complications with reported median of 10-26 days until transplant. We report a case of pulmonary capillary hemangiomatosis in a 35-year-old female who had to wait for donor lungs during the pandemic of SARS-CoV-2 for 143 days on PA-LA shunt with oxygenator following 51 days on VA-ECMO. The extremely long course associated with multiple complications including three cerebral embolisms, episodes of sepsis and ingrowth of the return cannula into the left ventricular wall gives insight into the limits of this bridging technique.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30201 - Cardiac and Cardiovascular systems
Result continuities
Project
—
Continuities
N - Vyzkumna aktivita podporovana z neverejnych zdroju
Others
Publication year
2022
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
American journal of transplantation
ISSN
1600-6135
e-ISSN
1600-6143
Volume of the periodical
22
Issue of the periodical within the volume
8
Country of publishing house
US - UNITED STATES
Number of pages
5
Pages from-to
2094-2098
UT code for WoS article
000744081700001
EID of the result in the Scopus database
2-s2.0-85122852539