Infected Thrombosis Leading to Veno-Venous Extracorporeal Membrane Oxygenation Dysfunction in Chronic Thromboembolic Pulmonary Hypertension.
Jeremy C GrateTyler S ReynoldsAdam C GordonSagar B DavePublished in: ASAIO journal (American Society for Artificial Internal Organs : 1992) (2024)
Nosocomial infections and thrombosis are frequent complications during extracorporeal membrane oxygenation (ECMO). Preventative measures and close monitoring for early recognition of these complications are imperative in patients supported with ECMO. We report the case of a 41 year old female on veno-venous ECMO awaiting surgical thrombectomy for chronic thromboembolic pulmonary hypertension that developed profound bacteremia leading to gross purulence and thrombosis of the membrane oxygenator. Recannulation in addition to targeted antibiotics, frequent cultures, imaging, and surgery were diagnostic and therapeutic interventions that led to ultimate resolution.
Keyphrases
- extracorporeal membrane oxygenation
- pulmonary hypertension
- acute respiratory distress syndrome
- pulmonary embolism
- respiratory failure
- pulmonary artery
- ejection fraction
- minimally invasive
- mechanical ventilation
- pulmonary arterial hypertension
- newly diagnosed
- risk factors
- atrial fibrillation
- physical activity
- high resolution
- prognostic factors
- oxidative stress
- acute ischemic stroke
- coronary artery disease
- escherichia coli
- mass spectrometry
- drug resistant
- patient reported outcomes
- surgical site infection