Venovenous extracorporeal membrane oxygenation for acute respiratory distress syndrome due to an acute type B aortic dissection: a case report. (May 2022)

• Record Type: Journal Article
• Authors: Miyagawa, Masatsugu; Yagi, Tsukasa; Sugai, Shonosuke; Hayashida, Satoshi; Iso, Kazuki; Iida, Korehito; Atsumi, Wataru; Tachibana, Eizo; Kunimoto, Satoshi; Okumura, Yasuo
• Is Part Of: Perfusion. Volume 37:Number 4(2022)
• Page Start: 426
• Page End: 428
• Publication Date: 2022-05
• Subjects: acute type B aortic dissection -- acute respiratory distress syndrome -- venovenous extracorporeal membrane oxygenation -- continuous renal replacement therapy; Perfusion (Physiology) -- Periodicals; Blood -- Circulation, Artificial -- Periodicals; Heart -- Surgery -- Periodicals; Extracorporeal Circulation -- Periodicals; Perfusion -- Periodicals; Circulation extracorporelle -- Périodiques; Perfusion -- Périodiques; 617.41
• DOI: 10.1177/0267659121998545
• Languages: English
• ISSNs: 0267-6591

Abstract

Acute type B aortic dissection is sometimes complicated by acute respiratory failure requiring mechanical ventilation. Herein, we describe our experience in a rare acute type B aortic dissection-associated respiratory failure case culminating in acute respiratory distress syndrome. The patient was a 45-year-old man admitted with a complaint of sudden chest pain radiating to his back. On computed tomography, an acute type B aortic dissection was diagnosed. He had no dyspnea on admission, but his respiratory function subsequently deteriorated, and severe acute respiratory distress syndrome was diagnosed on Day 4. Venovenous extracorporeal membrane oxygenation with anticoagulation plus continuous renal replacement therapy for oliguria improved the oxygenation, and the patient was weaned from the extracorporeal membrane oxygenation on Day 8. This patient fully recovered without worsening the aortic dissection, using venovenous extracorporeal membrane oxygenation with anticoagulation plus a continuous renal replacement therapy.