(1087) Cerebral Venous Congestion in Patient with Oxyrvad V-V Ecmo Presenting as Blurred Vision

نویسندگان

چکیده

IntroductionWe present a case of ophthalmic venous congestion presenting with blurred vision in 55-year-old patient on oxyRVAD VV ECMO via Right Internal Jugular Vein cannulation.Case ReportA male was evaluated for lung transplantation covid-19 ARDS and advanced fibrotic changes. While he an inpatient, developed worsening hypoxia hypercapnia requiring the initiation urgent bedside ECMO. Initial cannulation 18F Left 25F Femoral Vein. He subsequently transitioned to 29F Protek Duo Approximately two weeks after this conversion complained acute onset vision. CT head orbits performed demonstrating bilateral superior vein enlargement concerning cerebral congestion. The changes were more when compared prior Head there no intracranial findings. decision made reconfigure system 2-stick (19F) drainage right femoral (25F).No abnormalities identified during procedure. Upon conclusion reconfiguration, his resolved.SummaryBlurred can be symptom support Following reconfiguration Veinand drainage, neurologic symptoms resolved. This is first as that we could identify literature support. may resolve maximize specifically include SVC drainage. Factors impeding from brain such DVT IJ veins pericardial effusion must ruled out. We cannulation. A Blurred

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ژورنال

عنوان ژورنال: Journal of Heart and Lung Transplantation

سال: 2023

ISSN: ['1053-2498', '1557-3117']

DOI: https://doi.org/10.1016/j.healun.2023.02.1298