Tags

Type your tag names separated by a space and hit enter

Extracorporeal membrane oxygenation circulatory support after congenital cardiac surgery.
ASAIO J. 2009 Jan-Feb; 55(1):53-7.AJ

Abstract

Extracorporeal membrane oxygenation (ECMO) is widely used for circulatory support in pediatric cardiac patients with low cardiac output and hypoxemia after cardiac surgery. We evaluated retrospectively, the efficacy of postoperative ECMO support following congenital cardiac surgery in our hospital. From April 2002 to February 2008, seven patients (median age 30 months) received postoperative mechanical support. Three had complete repair including Fontan circulation and four had palliative repair. In four patients, ECMO was initiated in the operating room, in three patients in the intensive care unit, postoperatively. Of the seven patients, one died on ECMO (support withdrawn), one died shortly after ECMO was discontinued, and five were successfully weaned and survived to hospital discharge. One of the survivors died 4 months after the operation due to pneumonia and septic shock. The mean duration of ECMO support was 121 hours (in survivors). During ECMO, the major complication was bleeding, despite adequate control of activated clotting time. We conclude that ECMO support for heart failure and respiratory insufficiency after congenital cardiac surgery was effective, and the result of ECMO support for respiratory insufficiency was better than for heart failure.

Authors+Show Affiliations

Department of Thoracic and Cardiovascular Surgery, Hirosaki University School of Medicine, Hirosaki, Aomori, Japan. ysuzuki@cc.hirosaki-u.ac.jpNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

19092671

Citation

Suzuki, Yasuyuki, et al. "Extracorporeal Membrane Oxygenation Circulatory Support After Congenital Cardiac Surgery." ASAIO Journal (American Society for Artificial Internal Organs : 1992), vol. 55, no. 1, 2009, pp. 53-7.
Suzuki Y, Yamauchi S, Daitoku K, et al. Extracorporeal membrane oxygenation circulatory support after congenital cardiac surgery. ASAIO J. 2009;55(1):53-7.
Suzuki, Y., Yamauchi, S., Daitoku, K., Fukui, K., & Fukuda, I. (2009). Extracorporeal membrane oxygenation circulatory support after congenital cardiac surgery. ASAIO Journal (American Society for Artificial Internal Organs : 1992), 55(1), 53-7. https://doi.org/10.1097/MAT.0b013e31818f0056
Suzuki Y, et al. Extracorporeal Membrane Oxygenation Circulatory Support After Congenital Cardiac Surgery. ASAIO J. 2009 Jan-Feb;55(1):53-7. PubMed PMID: 19092671.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Extracorporeal membrane oxygenation circulatory support after congenital cardiac surgery. AU - Suzuki,Yasuyuki, AU - Yamauchi,Sanae, AU - Daitoku,Kazuyuki, AU - Fukui,Kozo, AU - Fukuda,Ikou, PY - 2008/12/19/entrez PY - 2008/12/19/pubmed PY - 2009/3/20/medline SP - 53 EP - 7 JF - ASAIO journal (American Society for Artificial Internal Organs : 1992) JO - ASAIO J VL - 55 IS - 1 N2 - Extracorporeal membrane oxygenation (ECMO) is widely used for circulatory support in pediatric cardiac patients with low cardiac output and hypoxemia after cardiac surgery. We evaluated retrospectively, the efficacy of postoperative ECMO support following congenital cardiac surgery in our hospital. From April 2002 to February 2008, seven patients (median age 30 months) received postoperative mechanical support. Three had complete repair including Fontan circulation and four had palliative repair. In four patients, ECMO was initiated in the operating room, in three patients in the intensive care unit, postoperatively. Of the seven patients, one died on ECMO (support withdrawn), one died shortly after ECMO was discontinued, and five were successfully weaned and survived to hospital discharge. One of the survivors died 4 months after the operation due to pneumonia and septic shock. The mean duration of ECMO support was 121 hours (in survivors). During ECMO, the major complication was bleeding, despite adequate control of activated clotting time. We conclude that ECMO support for heart failure and respiratory insufficiency after congenital cardiac surgery was effective, and the result of ECMO support for respiratory insufficiency was better than for heart failure. SN - 1538-943X UR - https://www.unboundmedicine.com/medline/citation/19092671/Extracorporeal_membrane_oxygenation_circulatory_support_after_congenital_cardiac_surgery_ L2 - https://doi.org/10.1097/MAT.0b013e31818f0056 DB - PRIME DP - Unbound Medicine ER -