Temporary fenestration using venoatrial extracorporeal membrane oxygenation after the Fontan operation.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 22632510.
- Also identified by DOI 10.1016/j.athoracsur.2011.11.020.
- No licence information is recorded for this record.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
A 28.7-month-old male child who had undergone a Norwood operation and bidirectional cavopulmonary shunt at the age of 5 days and 6.6 months, respectively, underwent the extracardiac conduit Fontan operation. After the operation, high-volume resuscitation was needed, which led to high central venous pressure (CVP) and low arterial oxygen saturation. Venoatrial extracorporeal membrane oxygenation (ECMO) was initiated between the superior vena cava and the right atrium with one third of the expected normal cardiac output. This low-flow venoatrial ECMO immediately terminated the vicious cycle caused by high venous pressure in the Fontan circulation. He was weaned from ECMO and discharged home.
Medical subject headings
- Central Venous Pressure
- Extracorporeal Membrane Oxygenation
- Fontan Procedure
- Heart Atria
- Hypoxia
- Norwood Procedures
- Postoperative Complications
- Vena Cava, Superior