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Heart-lung transplantation for refractory diffuse alveolar hemorrhage supported by prolonged extracorporeal membrane oxygenation after cardiogenic shock from ST segment elevation myocardial infarction: a case report.

Abstract
Diffuse alveolar hemorrhage after percutaneous coronary intervention is a rare but fatal complication. Although timely application of extracorporeal membrane oxygenator and discontinuation of antiplatelet/anticoagulation is the treatment of choice, bleeding is often irreversible. Herein, we introduce a patient with refractory diffuse alveolar hemorrhage after prolonged extracorporeal membrane oxygenator and percutaneous coronary intervention, who was eventually rescued with heart-lung transplantation.
AuthorsSang Hyun Lee, Hyun Myung Cho, Soon Myung Jung, Jin Hee Choi, Min Ku Chon, Ki Won Hwang, Jeong Su Kim, Yong Hyun Park, June Hong Kim, Kook Jin Chun, Hye Ju Yeo, Sang Gwon Lee, Do Hyung Kim, Soo Yong Lee
JournalPerfusion (Perfusion) Vol. 35 Issue 8 Pg. 870-874 (11 2020) ISSN: 1477-111X [Electronic] England
PMID32308141 (Publication Type: Case Reports, Journal Article)
Topics
  • Adult
  • Extracorporeal Membrane Oxygenation (methods)
  • Female
  • Heart-Lung Transplantation (methods)
  • Humans
  • Male
  • ST Elevation Myocardial Infarction (complications, pathology, therapy)
  • Shock, Cardiogenic (therapy)

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