Percutaneous debulking of tricuspid valve endocarditis in severe COVID-19 pneumonia after prolonged VV-ECMO with right ventricular support: a case series

ABSTRACT: Abstract

Background

Over the past two years, the utilization of venovenous extracorporeal membrane oxygenation (VV-ECMO) for the treatment of coronavirus disease 2019 (COVID-19) acute respiratory distress syndrome (ARDS) has increased. While supporting respiratory function, VV-ECMO requires large-bore indwelling venous cannulas, which risk bleeding and infections, including endocarditis.

Case Summary

We describe two adults hospitalized for COVID-19 pneumonia who developed ARDS and right ventricular failure, requiring VV-ECMO and ProtekDuo cannulation. After over 100 days with these devices, both patients developed tricuspid valve vegetations. Our first patient was decannulated from ECMO and discharged, but re-presented with a segmental pulmonary embolism and tricuspid mas

SUBMITTER:  

PROVIDER: S-EPMC9619636 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature