loading page

Dual-outflow extracorporeal membrane oxygenation support in secondary right ventricular failure
  • +3
  • Florian Hecker,
  • Harald Keller,
  • Ina Ischewski,
  • Mariuca Vasa-Nicotera,
  • Sonja Iken,
  • Tomas Holubec
Florian Hecker
Hospital of the Goethe University Frankfurt
Author Profile
Harald Keller
Hospital of the Goethe University Frankfurt
Author Profile
Ina Ischewski
Hospital of the Goethe University Frankfurt
Author Profile
Mariuca Vasa-Nicotera
Hospital of the Goethe University Frankfurt
Author Profile
Sonja Iken
Hospital of the Goethe University Frankfurt
Author Profile
Tomas Holubec
Hospital of the Goethe University Frankfurt
Author Profile

Abstract

Acute-on-chronic right ventricular failure has a tremendously high mortality rate and pulmonary artery hypertension plays a major role in the progression of secondary right ventricular failure. Here, we report a case of drug-refractory acute-on-chronic right ventricular failure due to primary artery hypertension and a two-step approach of a percutaneous dual-outflow extracorporeal membrane oxygenation support set-up implanted under on-going mechanical resuscitation for immediate biventricular support with a consequent downgrade to right ventricular assist device after left ventricular recompensation.