Veno-Arterial-Venous Extracorporeal Membrane Oxygenation in a Critically Ill Patient with Coronavirus Disease 2019

Medicina (Kaunas). 2020 Sep 30;56(10):510. doi: 10.3390/medicina56100510.

Abstract

Patients with cardiopulmonary failure may not be fully supported with typical configurations of extracorporeal membrane oxygenation (ECMO), either veno-arterial (VA) or veno-venous (VV). Veno-arterial-venous (VAV)-ECMO is a technique used to support the cardiopulmonary systems during periods of inadequate gas exchange and perfusion. In the severe case of coronavirus disease 2019 (COVID-19), which simultaneously affects the heart and lung, VAV-ECMO may improve a patient's recovery potential. We report the case of a 72-year-old woman with acute respiratory distress syndrome and circulatory failure following COVID-19, who was treated with VAV-ECMO.

Keywords: COVID-19; extracorporeal membrane oxygenation; respiratory distress syndrome.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Betacoronavirus*
  • COVID-19
  • Coronavirus Infections / complications*
  • Coronavirus Infections / therapy*
  • Critical Care / methods
  • Critical Illness
  • Extracorporeal Membrane Oxygenation / methods*
  • Female
  • Humans
  • Pandemics
  • Pneumonia, Viral / complications*
  • Pneumonia, Viral / therapy*
  • Respiratory Insufficiency / etiology*
  • Respiratory Insufficiency / therapy*
  • SARS-CoV-2