ProtekDuo Cannula for Pre-, Intra-, and Postoperative Lung Transplantation Management

Written By CCRG

Ricks, William A. Rackauskas, Mindaugas; Weir, William B. Emtiazjoo, Amir. Saha, Biplab K.Gries, Cynthia J. Maybauer, Marc O. Annals of Cardiac Anaesthesia DOI: 10.4103/aca.aca_24_24

Abstract: We present a 61-year-old patient with pulmonary hypertension, acute respiratory failure, and acute severe right ventricular (RV) dysfunction. Preoperatively, a ProtekDuo® was inserted for extracorporeal membrane oxygenation (ECMO) and RV protection with venopulmonary (VP) ECMO in (dl) V-P ECMO configuration. Intraoperatively, it provided venous drainage for venoarterial (VA) ECMO in (dl) VP-/AO configuration for bilateral orthotopic lung transplantation (BOLT). Postoperatively, the patient remained on (dl) V-P ECMO for RV support and was decannulated with mild RV dysfunction after 5 days. This is the first description of the ProtekDuo® used in (dl) V-P to (dl) VP-/AO to (dl) V-P configuration for the entire perioperative period of BOLT.

CCRG
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