Adición de un cortocircuito arterio-venoso durante el soporte vital extracorpóreo veno-arterial de un paciente con síndrome cardiopulmonar por Hantavirus: Caso clínico

• Vinko Tomicic F ^[1] ; Mauricio Espinoza R ^[1] ; Javier Torres M ^[1] ; Juan Abarca Z ^[1] ; José Miguel Montes S ^[1] ; Mario Luppi N ^[1] ; Andrés Concha F ^[1] ; Enrique Reynolds H ^[1] ; Alberto Laporte M ^[1] ; Claudio Canals L ^[1] ; Pablo Vial C ^[1]
  1. [1] Clínica Alemana-Universidad del Desarrollo Facultad de Medicina Departamento de Paciente Crítico
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 133, Nº. 7, 2005, págs. 817-822
• Idioma: español
• Títulos paralelos:
  • Addition of an arterio-venous shunt during veno-arterial extracorporeal life support in a patient with Hantavirus pulmonary syndrome
• Enlaces
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• Resumen

  • A subgroup of patients infected with the Hantavirus develops a pulmonary syndrome (HPS) characterized by severe acute respiratory failure and myocardial depression, that has a high mortality rate. Extracorporeal life support (ECLS) could be a valuable therapeutic tool in such patients. We report a 24 years old male with HPS that was successfully managed when an arterio-venous shunt was added to a conventional veno-arterial ECLS technique. Precise criteria have been developed to predict which patients should be considered for this treatment