Extracorporeal membrane oxygenation as a support for TGA/IVS with low cardiac output syndrome and pulmonary hemorrhage

Abstract

Rev Bras Cir Cardiovasc | Braz J Cardiovasc SurgRev Bras Cir Cardiovasc 2013;28(2):292-5 Feng Z, et al. -Extracorporeal membrane oxygenation as a support for TGA/ IVS with low cardiac output syndrome and pulmonary hemorrhage RBCCV 44205-1470 DOI: 10.5935/1678 Extracorporeal membrane oxygenation as a support for TGA/IVS with low cardiac output syndrome and pulmonary hemorrhage SHORT COMMUNICATION Abstract A 15-day-old neonate with complete transposition of the great arteries/intact ventricular septum was admitted with lifethreatening hypoxemia and heart arrest. After successful resuscitation, heart beat recovered but blood lactate began to arise and maintained above 15 mmol/L 6 hours later. Emergency arterial switch operation was done at 20 hours after resuscitation. Planned extracorporeal membrane oxygenation support was employed postoperatively. The baby experienced severe pulmonary hemorrhage and severe hypoxemia after weaning from cardiopulmonary bypass, which were treated with extracorporeal membrane oxygenation support. Descriptors

Extracorporeal Membrane Oxygenation for Diffuse Alveolar Hemorrhage Caused by Idiopathic Pulmonary Hemosiderosis: A Case Report and a Review of the Literature

“…As reported, 95% of patients were successfully decannulated from ECMO and 90% survived to discharge. To our knowledge, there are 26 published cases 6,7,[11][12][13][14][15][16][17][18][19][20][21][22][23] of DAH managed with ECMO in children, including our case (►Table 3). The most common etiology was IPH followed by a cardiac etiology.…”