Traumatische Trikuspidalklappeninsuffizienz mit Rechts-links-Shunt: "Bridging" mithilfe der extrakorporalen venovenösen Membranoxygenierung.

The case of a young male motor vehicle driver is reported who suffered multiple trauma in a car accident with pulmonary and cardiac contusions. In the course of severe pneumonia and traumatic tricuspid valve insufficiency a right-to-left shunt with refractory hypoxemia developed across a pre-existing atrial septal defect (ASD). The patient could be successfully treated by the combination of extracorporeal membrane oxygenation for bridging, interventional ASD occlusion and in the long-term by operative reconstruction of the tricuspid valve. [ABSTRACT FROM AUTHOR]