Key result
Introduction of an oxygenator into a short-term LVAD circuit improved gas exchange in a patient with pulmonary oedema, allowing eventual transition to long-term LVAD.
Case Report (n=1)
Introducing an oxygenator into a short-term LVAD circuit can serve as a lifesaving rescue maneuver for severe post-LVAD pulmonary complications without requiring chest reopening.
May offer rescue in refractory post-LVAD pulmonary oedema; hypothesis-generating case report requiring prospective validation.
Pulmonary complications after left ventricular assist device (LVAD) implantation, though infrequent, can be potentially catastrophic. A 62-year-old female with cardiogenic shock, supported on short-term LVAD, developed pulmonary oedema. An oxygenator was introduced into the LVAD circuit, which improved the gas exchange and, eventually, after weaning off the oxygenator, the patient received long-term LVAD. The introduction of an oxygenator into the short-term LAVD circuit is a lifesaving manoeuvre in such a situation. It offers freedom of introducing and removing the oxygenator into the LVAD circuit without opening the chest and competing for LVAD flow.
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Mohite et al. (2016) conducted a case report in Cardiogenic shock with pulmonary oedema post-LVAD (n=1). Introduction of an oxygenator into the short-term LVAD circuit was evaluated on Improvement in gas exchange and transition to long-term LVAD. Introduction of an oxygenator into a short-term LVAD circuit improved gas exchange in a patient with pulmonary oedema, allowing eventual transition to long-term LVAD.
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