Oxy-RVAD support for lung transplant in the absence of inferior vena cava

J Card Surg. 2020 Dec;35(12):3603-3605. doi: 10.1111/jocs.15040. Epub 2020 Sep 16.

Abstract

Cardiopulmonary bypass and extracorporeal membrane oxygenation are commonly used adjuncts to lung transplantation. These techniques are not without associated morbidity and mortality, and the surgeon must be aware of the possibility of aberrant anatomy that could lead to vascular injury during cannulation. In this report, we describe a patient with congenital absence of the inferior vena cava undergoing lung transplantation who required perioperative cardiopulmonary support. A percutaneous dual lumen cannula, Protek Duo, was connected in an Oxy-RVAD configuration to provide right ventricular and oxygenation support both intraoperatively and postoperatively to this patient.

Keywords: cardiovascular physiology; dual-lumen cannula; extracorporeal membrane oxygenation; lung transplant; single site cannulation.

Publication types

  • Case Reports

MeSH terms

  • Cannula
  • Catheterization
  • Extracorporeal Membrane Oxygenation*
  • Humans
  • Lung Transplantation*
  • Vena Cava, Inferior / diagnostic imaging
  • Vena Cava, Inferior / surgery