Managing Harlequin Syndrome in VA-ECMO – do not forget the right ventricle

Managing Harlequin Syndrome in VA-ECMO – do not forget the right ventricle

Harlequin Syndrome (also known as North-South Syndrome) is a complication of veno-arterial extracorporeal membrane oxygenation (V-A ECMO) that can occur when left ventricular function starts to recover. While most commonly due to continued impaired gas exchange in the lungs, we present a case caused...

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Veröffentlicht in:Perfusion 2022-07, Vol.37 (5), p.526-529
Hauptverfasser: Wilson, James, Fisher, Richard, Caetano, Francisca, Soliman-Aboumarie, Hatem, Patel, Brijesh, Ledot, Stephane, Price, Susanna, Vandenbriele, Christophe
Format: Artikel
Sprache:eng
Schlagworte:
Circuits
Gas exchange
Heart
Oxygenation
Ventricle
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Zusammenfassung:Harlequin Syndrome (also known as North-South Syndrome) is a complication of veno-arterial extracorporeal membrane oxygenation (V-A ECMO) that can occur when left ventricular function starts to recover. While most commonly due to continued impaired gas exchange in the lungs, we present a case caused by right ventricular dysfunction, successfully managed by conversion of the ECMO circuit to a veno-veno-arterial (VV-A) configuration.
ISSN:0267-6591
1477-111X
DOI:10.1177/02676591211020895