Venovenous extracorporeal membrane oxygenation for acute respiratory distress syndrome due to an acute type B aortic dissection: a case report

• Published in: Perfusion Vol. 37; no. 4; p. 426
• Main Authors: Miyagawa, Masatsugu, Yagi, Tsukasa, Sugai, Shonosuke, Hayashida, Satoshi, Iso, Kazuki, Iida, Korehito, Atsumi, Wataru, Tachibana, Eizo, Kunimoto, Satoshi, Okumura, Yasuo
• Format: Journal Article
• Language: English
• Published: England 01.05.2022
• Subjects: Aneurysm, Dissecting - complications; Aneurysm, Dissecting - therapy; Anticoagulants; Extracorporeal Membrane Oxygenation - methods; Humans; Male; Middle Aged; Respiration, Artificial - methods; Respiratory Distress Syndrome - etiology; Respiratory Distress Syndrome - therapy; acute respiratory distress syndrome; venovenous extracorporeal membrane oxygenation; continuous renal replacement therapy; acute type B aortic dissection
• ISSN: 1477-111X
• DOI: 10.1177/0267659121998545

Acute type B aortic dissection is sometimes complicated by acute respiratory failure requiring mechanical ventilation. Herein, we describe our experience in a rare acute type B aortic dissection-associated respiratory failure case culminating in acute respiratory distress syndrome. The patient was a 45-year-old man admitted with a complaint of sudden chest pain radiating to his back. On computed tomography, an acute type B aortic dissection was diagnosed. He had no dyspnea on admission, but his respiratory function subsequently deteriorated, and severe acute respiratory distress syndrome was diagnosed on Day 4. Venovenous extracorporeal membrane oxygenation with anticoagulation plus continuous renal replacement therapy for oliguria improved the oxygenation, and the patient was weaned from the extracorporeal membrane oxygenation on Day 8. This patient fully recovered without worsening the aortic dissection, using venovenous extracorporeal membrane oxygenation with anticoagulation plus a continuous renal replacement therapy.