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Nevin M. Katz
Bryan J. Buchholz
Edward Howard
John O'Connell
Robert B. Wallace
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Ann Thorac Surg 1988;46:462-464
© 1988 The Society of Thoracic Surgeons

Articles

Venovenous Extracorporeal Membrane Oxygenation for Noncardiogenic Pulmonary Edema After Coronary Bypass Surgery

Nevin M. Katz, M.D.*, Bryan J. Buchholz, C.C.P., Edward Howard, C.C.P., John O'Connell, C.C.P., Kathleen DePellegrini, C.C.P., Robert B. Wallace, M.D.

Department of Surgery, Georgetown University, Washington, DC

Accepted for publication May 11, 1988.

* Address reprint requests to Dr. Katz, Department of Surgery, Georgetown University Hospital, 3800 Reservoir Rd NW, Washington, DC 20007

A 71-year-old woman with noncardiogenic acute pulmonary edema early after having a coronary operation was treated with venovenous extracorporeal membrane oxygenation for uncontrollable hypoxia. Adequate oxygenation was achieved, the rapid deterioration of her condition was reversed, and ventilatory settings could be moderated. Two and a half days later, the patient was weaned from the system. At the time of this writing, the patient was in her sixth postoperative month and doing well. Details of this fairly simple but powerful technique are described.






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