The protekduo cannula for acute right ventricular support in thyrotoxicosis

A 25-year-old female was presented with acute right heart failure (aRHF) and cardiogenic shock secondary to thyrotoxicosis with concomitant acute respiratory failure. A ProtekDuo cannula was placed to provide temporary percutaneous right ventricular assistance and extracorporeal membrane oxygenation...

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Bibliographic Details
Published inAnnals of cardiac anaesthesia Vol. 26; no. 4; pp. 464 - 467
Main Authors Maybauer, Marc, Brewer, Joseph
Format Journal Article
LanguageEnglish
Published Mumbai Wolters Kluwer India Pvt. Ltd 01.10.2023
Medknow Publications and Media Pvt. Ltd
Medknow Publications & Media Pvt. Ltd
Wolters Kluwer Medknow Publications
Subjects
Acute respiratory distress syndrome
Care and treatment
ecmo
Extracorporeal membrane oxygenation
Medical equipment
protekduo
right ventricular assist device
rvad
Thyroid diseases
thyrotoxicosis
venoarterial
venopulmonary
ECMO
venopulmonary
RVAD
venoarterial
right ventricular assist device
thyrotoxicosis
ProtekDuo
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Summary:A 25-year-old female was presented with acute right heart failure (aRHF) and cardiogenic shock secondary to thyrotoxicosis with concomitant acute respiratory failure. A ProtekDuo cannula was placed to provide temporary percutaneous right ventricular assistance and extracorporeal membrane oxygenation (ECMO) in venopulmonary (V-P) configuration, which provided both decompression of the right ventricle (RV) and oxygenation. With treatment of the underlying thyrotoxicosis, the RV function improved and respiratory failure resolved. She was discharged home in good condition. This case details alternative ECMO management with ProtekDuo compared to the gold standard of venoarterial (V-A) ECMO.
ISSN:0971-9784
0974-5181
DOI:10.4103/aca.aca_26_23