case_images: PMC11235335_01
case_images: Implantation of a paracorporeal lung assist device, cannulation of the left atrium (LA) and main pulmonary artery (PA).
case_images: frtra-02-1197906-g001.jpg
case_images: PMC11235335_01_frtra-02-1197906-g001.jpg
case_images: F1
case_images: Terumo straight graft prosthesis was sewn to the pulmonary artery with a continuous Prolene suture (Figure 1). Both cannulae were channeled subcutaneously to the subxiphoid area, de-aired and connected to a Medtronic Nautilus  oxygenator with an incorporated heat exchanger. This ultimately resulted in a passive shunt from the pulmonary artery (PA) to the left atrium (LA) with a flow of 2.5 L/min, and prompt hemodynamic stabilization could be achieved.
case_images: (A) Transthoracic echocardiography before PLAD implantation showing signs of RV failure. (B) Transthoracic echocardiography after PLAD implantation: recovery of RV function and LV volume conditioning.
case_images: frtra-02-1197906-g002.jpg
case_images: PMC11235335_01_frtra-02-1197906-g002.jpg
case_images: F2
case_images: Left ventricular ejection fraction was within normal range (Figure 2A). Treprostinil was discontinued, right ventricular function progressively improved and inotropic support could be discontinued (Figure 2B). The anticoagulation regime included Aspirine, Clopidogrel and Vitamin K antagonists (target INR 3-3.5).
case_images: Physical therapy while on PLAD.
case_images: frtra-02-1197906-g003.jpg
case_images: PMC11235335_01_frtra-02-1197906-g003.jpg
case_images: F3
case_images: No major complications occurred during PLAD support, and the patient recovered to the point of being able to walk on the hospital ward (Figure 3).