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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

Corresponding Author:hiratay22@gmail.com

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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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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.
Jul 2022Published in Asian Cardiovascular and Thoracic Annals volume 30 issue 6 on pages 733-736. 10.1177/02184923221095724