Implantation of left ventricular assist device(LVAD)is currently one of the important methods in the treatment of end-stage heart failure.Common complications following LVAD implantation include right ven-tricular failure(RVF),hemorrhage,infection,and cerebrovascular accident.Although patients have undergone rigorous preoperative evaluation,RVF can be difficult to predict.Severe respiratory failure requiring extracorpore-al membrane oxygenation(ECMO)after LVAD implantation was less reported.Veno-arterial ECMO(VA-EC-MO)can allow both the lung and the right ventricle to get a rest,but attention should be paid to the competition of blood flow between ECMO and LVAD.We report the experience of VA-ECMO therapy in one patient with a-cute respiratory failure and RVF after LVAD implantation.
维普
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