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Open Access 01-12-2023 | Case report

Unusual severe hypoxemia due to unilateral pulmonary edema after conventional cardiopulmonary bypass salvaged by veno-venous extracorporeal membrane oxygenation: a case report

Authors: Masataka Fukuda, Hiroaki Sakai, Keito Koh, Sonoko Sakuraba, Nozomi Ando, Masakazu Hayashida, Izumi Kawagoe

Published in: JA Clinical Reports | Issue 1/2023

Abstract

Background

We report a case in which veno-venous extracorporeal membrane oxygenation (V-V ECMO) saved the life of a patient who developed severe hypoxemia due to unusual unilateral pulmonary edema (UPE) after cardiopulmonary bypass (CPB).

Case presentation

A 69-year-old man underwent aortic valve replacement and coronary artery bypass grafting. Following uneventful weaning off CPB, he developed severe hypoxemia. The ratio of arterial oxygen tension to inspired oxygen fraction (PaO₂/FiO₂) decreased from 301 mmHg 5 min after CPB to 42 mmHg 90 min after CPB. A chest X-ray revealed right-sided UPE. Immediately established V-V ECMO increased PaO₂/FiO₂ to 170 mmHg. Re-expansion pulmonary edema (REPE) was likely, as the right lung remained collapsed during CPB following the accidental opening of the right chest cavity during graft harvesting.

Conclusions

V-V ECMO was effective in improving oxygenation and saving the life of a patient who had fallen into unilateral REPE unusually developing after conventional CPB.

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Title: Unusual severe hypoxemia due to unilateral pulmonary edema after conventional cardiopulmonary bypass salvaged by veno-venous extracorporeal membrane oxygenation: a case report
Authors: Masataka Fukuda
Hiroaki Sakai
Keito Koh
Sonoko Sakuraba
Nozomi Ando
Masakazu Hayashida
Izumi Kawagoe
Publication date: 01-12-2023
Publisher: Springer Berlin Heidelberg
Published in: JA Clinical Reports / Issue 1/2023
Electronic ISSN: 2363-9024
DOI: https://doi.org/10.1186/s40981-023-00656-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Unusual severe hypoxemia due to unilateral pulmonary edema after conventional cardiopulmonary bypass salvaged by veno-venous extracorporeal membrane oxygenation: a case report

Abstract

Background

Case presentation

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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