Marcelo Cypel, MD, Thomas Waddell, MD, Lianne G

Slides:

Advertisements

Similar presentations

Uterine leiomyoma extension into right atrium: A case report

Advertisements

Marcelo Cypel, MD, MSc, Jonathan C

Outcomes of intraoperative extracorporeal membrane oxygenation versus cardiopulmonary bypass for lung transplantation Tiago N. Machuca, MD, Stephane.

A hybrid configuration of a left ventricular assist device and venovenous extracorporeal membrane oxygenation Louis Samuels, MD, Eric Gnall, DO, Elena.

Extracorporeal membrane oxygenation for septic shock: Heroic futility?

Lobar lung transplantation: One size fits all

Experience from the Thoracic Surgery Residents Association traveling fellowship: Adult and pediatric lung transplantation in Toronto Taufiek Konrad Rajab,

Novel mechanism of mitral regurgitation after lung transplantation in a patient with scleroderma and pulmonary hypertension Christian A. Bermudez, MD,

One in every 14 patients with early-stage lung cancer is not being treated! Benny Weksler, MD, MBA The Journal of Thoracic and Cardiovascular Surgery

Avihu Z. Gazit, MD, Stuart C. Sweet, MD, R. Mark Grady, MD, Charles B

Extracorporeal membrane oxygenation as a bridge to lung transplantation is about more than just surviving Dirk Van Raemdonck, MD, PhD, Fabienne Dobbels,

Yesterday's heroic measure is now standard procedure: Extracorporeal membrane oxygenation as a bridge to lung transplant Victor van Berkel, MD, PhD

Venovenous extracorporeal membrane oxygenation using a single cannula in patients with pulmonary hypertension and atrial septal defects Jeffrey Javidfar,

Right internal thoracic artery or saphenous vein grafting

Jose P. Garcia, MD, Aldo Iacono, MD, Zachary N. Kon, MD, Bartley P

Hemoconcentration in ex vivo lung perfusion: A case report of a novel technique used in clinical lung transplantation Andreas Wallinder, MD, Christoffer.

The Journal of Thoracic and Cardiovascular Surgery

Marye J. Gleva, MD, Charles B. Huddleston, MD

How should we treat air leaks?

Intra-atrial rerouting by the posterior left atrial wall flap for total anomalous pulmonary venous return drainage into the coronary sinus in neonates

Use of Single-Cannula Venous-Venous Extracorporeal Life Support in the Management of Life-Threatening Airway Obstruction Michael Ko, MD, Pedro R. dos.

Successful cardiac transplant after Berlin Heart bridge in a single ventricle heart: Use of aortopulmonary shunt as a supplementary source of pulmonary.

Use of the total artificial heart as a bridge to transplant in a 13-year-old with congenitally corrected transposition of the great arteries Ming-Sing.

Veno-venous extracorporeal membrane oxygenation with interatrial shunting: A novel approach to lung transplantation for patients in right ventricular.

Acute left ventricular failure after bilateral lung transplantation for idiopathic pulmonary arterial hypertension Tom Verbelen, MD, Sophie Van Cromphaut,

Myriad manifestations of myxoma

Right ventricular outflow tract resection for treatment of refractory ventricular tachycardia in a 2-year-old child S. Kanaan, MD, K. Shamsuddin, MD,

Extracorporeal life support during pregnancy

Aditya K. Kaza, MD The Journal of Thoracic and Cardiovascular Surgery

It's not “just a shunt” but sometimes it should be…

Extracorporeal membrane oxygenation: The simplified weaning bridge

Bartley P. Griffith, MD, FACS, FRCS

Experience from an American Association for Thoracic Surgery Foundation for Thoracic Surgery Training Fellowship: Lung transplantation in Toronto General.

Left main coronary artery thrombosis: An unexpected complication of venoarterial extracorporeal membrane oxygenation Alexis Theron, MD, Eleonore Ravis,

Ex Vivo Lung Perfusion Marcelo Cypel, MD, MSc, Shaf Keshavjee, MD, MSc

A first start for lung transplantation?

Ashok Muniappan, MD The Journal of Thoracic and Cardiovascular Surgery

The evolution of intraoperative support in lung transplantation: Cardiopulmonary bypass to extracorporeal membrane oxygenation P. Michael McFadden, MD,

A simplified technique for pulmonary artery aneurysm repair in a lung transplant recipient with right ventricular outflow tract obstruction Giorgio Zanotti,

Arterial lactate before initiation of venoarterial extracorporeal membrane oxygenation for postcardiotomy shock improves postimplant outcome prediction

Third-time lung transplantation in a patient with cystic fibrosis

David L. Joyce, MD The Journal of Thoracic and Cardiovascular Surgery

Living without lungs? Bilateral pneumonectomy and dual circulatory support: A step forward in the search for a total artificial lung Christian A. Bermudez,

Right ventricular failure from severe pulmonary hypertension after surgery for shone complex: Back to fetal physiology with reducting, atrioseptectomy,

Passing the torch The Journal of Thoracic and Cardiovascular Surgery

Prognosis and “granularity”: Building on staging foundations?

Shunt right or left? Decision 2016

Ralph S. Mosca, MD The Journal of Thoracic and Cardiovascular Surgery

Venovenous extracorporeal membrane oxygenation for patients with single-ventricle anatomy: A registry report Scott I. Aydin, MD, Melissa Duffy, MS, CPNP,

Bryan M. Burt, MD The Journal of Thoracic and Cardiovascular Surgery

Postcardiotomy extracorporeal membrane oxygenation for refractory cardiogenic shock Nilgun Bozbuga, MD, PhD The Journal of Thoracic and Cardiovascular.

Uterine leiomyoma extension into right atrium: A case report

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

A call for standardized end point definitions regarding outcomes of extracorporeal membrane oxygenation John J. Squiers, BSE, Brian Lima, MD, J. Michael.

Complete cavopulmonary shunt completion after in utero balloon atrial septoplasty for hypoplastic left heart syndrome Nicholas H. Von Bergen, MD, Harold.

Commentary: Judgment day: Should you add atrial fibrillation ablation?

Toward a more rational approach in treating type B aortic dissection

Apples remain apples NO matter what

Preoperative PFTs: The answer is blowing in the wind

Lipomatous septal hypertrophy

Giant right coronary artery aneurysm with a huge intramural thrombus

(A) The normal cardiovascular circulation.

Left atrial to left ventricle bypass for mitral valve stenosis

Adnan Malik, MD, Larry L. Shears, MD, Dmitriy Zubkus, MD, David J

Commentary: Evaluation of primary graft dysfunction after lung transplantation—It is time to teach an old dog new tricks! W. Hampton Gray, MD, P. Michael.

Zone zero thoracic endovascular aortic repair is all about “location, location, location” Kevin L. Greason, MD The Journal of Thoracic and Cardiovascular.

Marcelo Cypel, MD, MSc, Jonathan C

Cavoaortic shunt improves hemodynamics with preserved oxygen delivery in experimental right ventricular failure during left ventricular assist device.

Akiko Tanaka, MD, PhD, Takeyoshi Ota, MD, PhD

Presentation transcript:

Bilateral pneumonectomy to treat uncontrolled sepsis in a patient awaiting lung transplantation Marcelo Cypel, MD, Thomas Waddell, MD, Lianne G. Singer, MD, Lorenzo del Sorbo, MD, Eddy Fan, MD, Matthew Binnie, MD, Niall D. Ferguson, MD, Shaf Keshavjee, MD The Journal of Thoracic and Cardiovascular Surgery Volume 153, Issue 4, Pages e67-e69 (April 2017) DOI: 10.1016/j.jtcvs.2016.11.031 Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Severe pneumonia in the background of end-stage cystic fibrosis. B, Patient in the intensive care unit with no lungs for 6 days. 1, Right atrial venous drainage cannula; 2, aortic return cannula; 3, pulmonary arterial cannula; 4, pulmonary vein arterial cannula (left atrial). The Journal of Thoracic and Cardiovascular Surgery 2017 153, e67-e69DOI: (10.1016/j.jtcvs.2016.11.031) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Diagram of mechanical support before transplantation in the absence of lungs. Flow is directed from the right ventricle to the aorta in a standard veno-arterial extracorporeal membrane oxygenation configuration. Residual flow passing from the right atrium to the pulmonary artery is then shunted and oxygenated via the Novalung to the left atrium, allowing the right ventricle to provide pulsatility against a low-resistance system. ECMO, Extracorporeal membrane oxygenation; RA, right atrium; LA, left atrium; RV, right ventricle; LV, left ventricle; PA, pulmonary artery; NL, Novalung. The Journal of Thoracic and Cardiovascular Surgery 2017 153, e67-e69DOI: (10.1016/j.jtcvs.2016.11.031) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Immediate post–bilateral lung transplantation. The Journal of Thoracic and Cardiovascular Surgery 2017 153, e67-e69DOI: (10.1016/j.jtcvs.2016.11.031) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

A patient with cystic fibrosis after undergoing bilateral pneumonectomy to treat pulmonary septic shock. The Journal of Thoracic and Cardiovascular Surgery 2017 153, e67-e69DOI: (10.1016/j.jtcvs.2016.11.031) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions