Extracorporeal membrane oxygenation for the control of a pulmonary
artery hemorrhage
Abstract
No standard treatments have been established for airway hemorrhage
during cardiopulmonary bypass (CPB). Herein, we describe two cases of
catheter-induced pulmonary hemorrhage during cardiac surgery. In each
case, massive hemoptysis was observed during cardiopulmonary bypass
(CPB) weaning. A bronchial blocker was inserted into the right bronchus,
and extracorporeal membrane oxygenation (ECMO) was initiated to reduce
pulmonary blood flow, and stabilize the hemodynamics. ECMO significantly
reduced bleeding from the pulmonary artery (PA). Both cases had
favorable outcomes following the implementation of extracorporeal
membrane oxygenation (ECMO). ECMO is effective at controlling PA
bleeding during and after cardiac surgery.