Key result
A 42-year-old male placed on veno-arterial ECMO for cardiac arrest developed pulmonary haemorrhage due to missed aortic valve regurgitation.
Case Report (n=1)
Highlights the severe consequences, such as pulmonary haemorrhage, of missing aortic valve regurgitation in patients placed on veno-arterial ECMO.
A 42-year-old male was admitted under ongoing cardiopulmonary resuscitation after having suffered a cardiac arrest from ventricular fibrillation while watching a sports event. Upon hospital arrival, he was in pulseless electrical activity; transthoracic echocardiography—limited by poor acoustic windows—indicated a hypertrophic left ventricle (LV) without pericardial effusion. The decision to place a veno-arterial extracorporeal membrane oxygenation (va-ECMO) was made and following peripheral cannulation, the flow was started with 3.8 L/min. A coronary angiogram displayed normal coronaries, whereas computed tomography angiography of the chest showed bilateral ground-glass opacities, a collapsed right ventricle (Panel A) without filling of the pulmonary arteries (Panel B) and a contrasted left...
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Sweda et al. (2020) conducted a case report in Cardiac arrest from ventricular fibrillation (n=1). Veno-arterial extracorporeal membrane oxygenation (va-ECMO) was evaluated. A 42-year-old male placed on veno-arterial ECMO for cardiac arrest developed pulmonary haemorrhage due to missed aortic valve regurgitation.
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