Stent Placement in a Neonate with Sano Modification of the Norwood using Semi-Elective Extracorporeal Membrane Oxygenation

Abstract

Extracorporeal membrane oxygenation (ECMO) is a well-established tool of cardiopulmonary circulatory support for cardiopulmonary failure in children and adults. It has been used as a supportive strategy during interventional procedures in neonates with congenital heart disease. Herein, we describe a neonate with hypoplastic left heart syndrome who underwent stenting of the Sano shunt and left pulmonary artery after Norwood Sano operation using intra-procedural ECMO support. The use of ECMO as a bridge to recovery might be a feasible and reasonably safe adjunctive approach in the treatment of complications in selective case of neonates having undergone the Norwood Sano procedure.

ECMO support in cardiac intervention of severe pulmonary stenosis

“…Ever since its first successful application in cardiac catheterization and intervention in 1995 for a 4-year-old patient with pulmonary atresia, ventricular septal defect, [1] extracorporeal membrane oxygenation (ECMO) support can help maintain cardiopulmonary function and stabilize the hemodynamics on high-risk cardiac catheterization patients with congenital heart diseases. [2–5] Unlike the pulmonary stent implantation for congenital heart diseases, pulmonary artery stenosis caused by aorto-arteritis has a longer course, and the pulmonary arterial wall is stiffer and less elastic. Therefore, it is more difficult and takes a longer time for intervention.…”