Single-Kidney Transplant on VA-ECMO While Recovering from Post-Heart-Transplant Graft Failure.
Gabriel PradaAnjali AgarwalJose L Diaz-GomezRobert A RatzlaffPublished in: Case reports in critical care (2018)
Although no consensus exists on whether extracorporeal membrane oxygenation (ECMO) support is an indication for solid-organ transplantation other than heart and lung, this practice continues to be limited. We present a case of a 55-year-old man who was placed on venoarterial ECMO (VA-ECMO) during orthotopic heart transplantation (OHT) because of acute graft failure. Twenty-four hours later, the patient underwent deceased-donor renal transplantation (DDRT) while on VA-ECMO and had no complications. On post-DDRT day 2 (post-OHT day 3), the patient was successfully decannulated from VA-ECMO and ultimately discharged home. This case highlights the potential successful use of ECMO support during solid-organ transplantation other than heart and lung and the importance of trained providers and tailored anticoagulation. To the authors' knowledge, this is the first report of perioperative ECMO use during kidney transplantation after recent heart transplantation.
Keyphrases
- extracorporeal membrane oxygenation
- acute respiratory distress syndrome
- respiratory failure
- kidney transplantation
- healthcare
- heart failure
- atrial fibrillation
- mechanical ventilation
- case report
- primary care
- stem cells
- cardiac surgery
- intensive care unit
- climate change
- cell therapy
- hepatitis b virus
- aortic dissection
- human health
- resistance training