Effect of prone position on right ventricular dysfunction due to pulmonary embolism assessed by speckle tracking echocardiography.
Issac CheongLucila AvanzatoMilton BermeoMaría Virginia MazzolaGastón Adrián BaionaMaría Soledad SantagiulianaRaúl Alejandro GómezPablo Martín MerloFrancisco Marcelo TamagnonePublished in: Journal of ultrasound (2022)
Prone position has shown beneficial hemodynamic effects in patients with right ventricular dysfunction associated with acute respiratory distress syndrome decreasing the right ventricle afterload. We describe the case of a 57-year-old man with right ventricular dysfunction associated with pulmonary thromboembolism with severe hypoxemia that required mechanical ventilation in prone position. With this maneuver, we verified an improvement not only in his oxygenation, but also in his right ventricular function assessed with speckle tracking echocardiography. Our case shows the potential beneficial effect of the prone position maneuver in severely hypoxemic patients with right ventricular dysfunction associated with pulmonary thromboembolism.
Keyphrases
- acute respiratory distress syndrome
- mechanical ventilation
- pulmonary hypertension
- pulmonary embolism
- extracorporeal membrane oxygenation
- oxidative stress
- respiratory failure
- intensive care unit
- left ventricular
- computed tomography
- pulmonary artery
- inferior vena cava
- pulmonary arterial hypertension
- early onset
- atrial fibrillation