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Extracorporeal membrane oxygenation for the control of a pulmonary artery hemorrhage
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  • Yuichiro Hirata,
  • Eiki Tayama,
  • Ryuya Nomura,
  • Tomofumi Fukuda,
  • Kojiro Furukawa,
  • Tatshushi Onzuka,
  • Shigeki Morita
Yuichiro Hirata
Kyusyu Medical Center, National Hospital Organization
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Eiki Tayama
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Ryuya Nomura
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Tomofumi Fukuda
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Kojiro Furukawa
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Tatshushi Onzuka
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Shigeki Morita
National Hospital Organaization Kyushu Medical Center
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Abstract

No standard treatments have been established for airway hemorrhage during cardiopulmonary bypass (CPB). Herein, we describe two cases of catheter-induced pulmonary hemorrhage during cardiac surgery. In each case, massive hemoptysis was observed during cardiopulmonary bypass (CPB) weaning. A bronchial blocker was inserted into the right bronchus, and extracorporeal membrane oxygenation (ECMO) was initiated to reduce pulmonary blood flow, and stabilize the hemodynamics. ECMO significantly reduced bleeding from the pulmonary artery (PA). Both cases had favorable outcomes following the implementation of extracorporeal membrane oxygenation (ECMO). ECMO is effective at controlling PA bleeding during and after cardiac surgery.

Peer review status:UNDER REVIEW

03 Jun 2021Submitted to Journal of Cardiac Surgery
07 Jun 2021Assigned to Editor
07 Jun 2021Submission Checks Completed
09 Jun 2021Reviewer(s) Assigned