Heart-lung transplantation for refractory diffuse alveolar hemorrhage supported by prolonged extracorporeal membrane oxygenation after cardiogenic shock from ST segment elevation myocardial infarction: a case report. (November 2020)

• Record Type: Journal Article
• Authors: Lee, Sang Hyun; Cho, Hyun Myung; Jung, Soon Myung; Choi, Jin Hee; Chon, Min Ku; Hwang, Ki Won; Kim, Jeong Su; Park, Yong Hyun; Kim, June Hong; Chun, Kook Jin; Yeo, Hye Ju; Lee, Sang Gwon; Kim, Do Hyung; Lee, Soo Yong
• Is Part Of: Perfusion. Volume 35:Number 8(2020)
• Page Start: 870
• Page End: 874
• Publication Date: 2020-11
• Subjects: hemorrhage -- acute coronary syndrome -- extracorporeal membrane oxygenation -- ticagrelor -- heart-lung transplantation; Perfusion (Physiology) -- Periodicals; Blood -- Circulation, Artificial -- Periodicals; Heart -- Surgery -- Periodicals; Extracorporeal Circulation -- Periodicals; Perfusion -- Periodicals; Circulation extracorporelle -- Périodiques; Perfusion -- Périodiques; 617.41
• DOI: 10.1177/0267659120915396
• Languages: English
• ISSNs: 0267-6591

Abstract

Diffuse alveolar hemorrhage after percutaneous coronary intervention is a rare but fatal complication. Although timely application of extracorporeal membrane oxygenator and discontinuation of antiplatelet/anticoagulation is the treatment of choice, bleeding is often irreversible. Herein, we introduce a patient with refractory diffuse alveolar hemorrhage after prolonged extracorporeal membrane oxygenator and percutaneous coronary intervention, who was eventually rescued with heart-lung transplantation.