PMID- 32317888 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 1658-354X (Print) IS - 0975-3125 (Electronic) VI - 14 IP - 2 DP - 2020 Apr-Jun TI - Fatal pulmonary hemorrhage due to severe mitral regurgitation during venoarterial extracorporeal membrane oxygenation. PG - 253-256 LID - 10.4103/sja.SJA_773_19 [doi] AB - Pulmonary hemorrhage (PH) during venoarterial extracorporeal membrane oxygenation (VA-ECMO) has been primarily reported in pediatric patients. We report a case of fatal PH during VA-ECMO for cardiogenic shock after myocardial infarction (MI). PH, in this case, was secondary to a triad of aortic insufficiency, left ventricle distension, and severe laminar mitral regurgitation. This case scenario, previously unreported in adults, illustrates the need for the echocardiographic assessment of left-sided heart valves prior to VA-ECMO initiation after MI as well as management considerations for massive PH in this context. CI - Copyright: (c) 2020 Saudi Journal of Anesthesia. FAU - Gerstein, Neal S AU - Gerstein NS AD - Department of Anesthesiology and Critical Care Medicine, University of New Mexico, Albuquerque, New Mexico. FAU - Freeman, Joseph J AU - Freeman JJ AD - Department of Anesthesiology and Critical Care Medicine, University of New Mexico, Albuquerque, New Mexico. FAU - Mitchell, Jessica A AU - Mitchell JA AD - Department of Emergency Medicine, University of New Mexico, Albuquerque, New Mexico. FAU - Cronin, Brett H AU - Cronin BH AD - Department of Anesthesiology, University of California San Diego, San Diego, California, USA. LA - eng PT - Case Reports DEP - 20200305 PL - India TA - Saudi J Anaesth JT - Saudi journal of anaesthesia JID - 101500601 PMC - PMC7164472 OTO - NOTNLM OT - Echocardiography OT - pulmonary hemorrhage OT - venoarterial extracorporeal membrane oxygenation COIS- There are no conflicts of interest. EDAT- 2020/04/23 06:00 MHDA- 2020/04/23 06:01 PMCR- 2020/04/01 CRDT- 2020/04/23 06:00 PHST- 2019/12/12 00:00 [received] PHST- 2020/01/16 00:00 [accepted] PHST- 2020/04/23 06:00 [entrez] PHST- 2020/04/23 06:00 [pubmed] PHST- 2020/04/23 06:01 [medline] PHST- 2020/04/01 00:00 [pmc-release] AID - SJA-14-253 [pii] AID - 10.4103/sja.SJA_773_19 [doi] PST - ppublish SO - Saudi J Anaesth. 2020 Apr-Jun;14(2):253-256. doi: 10.4103/sja.SJA_773_19. Epub 2020 Mar 5.