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Ann Thorac Surg. 2014 Mar;97(3):1046-8. doi: 10.1016/j.athoracsur.2013.06.126.

Cardiac tamponade: new technology masking an old nemesis.

Author information

1
The Heart Center, Nationwide Children's Hospital, Columbus, Ohio; Cardiopulmonary Mechanical Support Research Group, Nationwide Children's Hospital, Columbus, Ohio; Department of Pediatrics, The Ohio State University College of Medicine, Columbus, Ohio. Electronic address: andrew.yates@nationwidechildrens.org.
2
Cardiopulmonary Mechanical Support Research Group, Nationwide Children's Hospital, Columbus, Ohio.
3
The Heart Center, Nationwide Children's Hospital, Columbus, Ohio.
4
Cardiopulmonary Mechanical Support Research Group, Nationwide Children's Hospital, Columbus, Ohio; Department of Pediatrics, The Ohio State University College of Medicine, Columbus, Ohio; Section of Pulmonology, Nationwide Children's Hospital, Columbus, Ohio.
5
The Heart Center, Nationwide Children's Hospital, Columbus, Ohio; Cardiopulmonary Mechanical Support Research Group, Nationwide Children's Hospital, Columbus, Ohio; Department of Thoracic Surgery, The Ohio State University College of Medicine, Columbus, Ohio.
6
The Heart Center, Nationwide Children's Hospital, Columbus, Ohio; Cardiopulmonary Mechanical Support Research Group, Nationwide Children's Hospital, Columbus, Ohio.

Abstract

A 16-year-old male patient underwent bilateral pulmonary embolectomy complicated by reperfusion injury and acute respiratory distress syndrome requiring venovenous extracorporeal membrane oxygenation support using a bicaval double-lumen catheter. A unique hemodynamic profile developed consistent with tamponade but without an associated decrease in venovenous extracorporeal membrane oxygenation pump flow, improved venovenous extracorporeal membrane oxygenation circuit preload, and decreased recirculation. The use of newer bicaval double-lumen catheters can result in old problems presenting in new ways and require clinicians to be ever vigilant.

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