Venoarteriovenous ECMO in Concomitant Acute Respiratory Distress Syndrome and Cardiomyopathy Associated with COVID-19 Infection

Zachary R. Bergman, Saranya Prathibha, Brent D. Bauman, Demetris Yannopoulos, Melissa E. Brunsvold

Research output: Contribution to journalArticlepeer-review

Abstract

In the most severe cases, novel coronavirus (SARS-CoV-2) infection leads to Acute Respiratory Distress Syndrome which may be refractory to standard medical interventions including mechanical ventilation. There are growing reports of the use of venovenous (VV) extracorporeal membrane oxygenation (ECMO) in these cases. A subset of critically ill COVID-19 patients develops cardiomyopathy as well, manifested by cardiogenic shock with reduced ejection fraction, dysrhythmias, and subsequent increase in mortality. One strategy for managing ARDS with an element of cardiogenic shock is venoarteriovenous (VAV) ECMO. Less than 1% of the cases in the worldwide ELSO COVID-19 database employed any form of hybrid cannulation. To date, there has only been one reported case of patient salvage with arterial or partial arterial support. We present a case that demonstrates the potential role of VAV ECMO in the case of concomitant severe ARDS with cardiomyopathy in the setting of COVID-19 infection.

Original languageEnglish (US)
Article number8848013
JournalCase Reports in Critical Care
Volume2021
DOIs
StatePublished - 2021

Bibliographical note

Publisher Copyright:
© 2021 Zachary R. Bergman et al.

PubMed: MeSH publication types

  • Case Reports

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