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Central Extracorporeal Membrane Oxygenation and Early Rehabilitation for Persistent Severe Pulmonary Hypertension Following Pulmonary Endarterectomy

Seong, G.M.; Hong, S.-B.; Huh, J.W.; Lim, C.-M.; Koh, Y.; Lee, J.W.; Jung, S.-H.; Park, D.-W.; Lee, J.S.

Acute and Critical Care 34(2): 158-164

2019


ISSN/ISBN: 2586-6060
PMID: 31723922
Accession: 069515141

Chronic thromboembolic pulmonary hypertension is potentially curable with a pulmonary endarterectomy. However, approximately 20% of patients have persistent pulmonary hypertension after pulmonary endarterectomy, which is a major risk factor for postoperative death. Here, we report a 34-year-old woman who suffered persistent severe pulmonary hypertension following a successful pulmonary endarterectomy for chronic thromboembolic pulmonary hypertension. Extracorporeal membrane oxygenation (ECMO) and atrial septostomy were successfully performed as rescue treatments, and active rehabilitation during ECMO was prescribed to facilitate recovery.

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