Abstract | BACKGROUND: METHODS: A single institution, retrospective review of an Institutional Review Board approved database was undertaken. Over a 6-year period, 18 instances were identified for 17 patients who became acutely hypoxemic from either inadequate pulmonary blood flow (8 instances) or a viral pneumonia (10 instances) complicating their cyanotic heart disease. Demographics, duration of venovenous extracorporeal membrane oxygenation and outcomes are reported. RESULTS: The length of venovenous extracorporeal membrane oxygenation ranged from 13.5 to 362.5 hours (mean 130 +/- 121 hours). During 10 supports, operations were performed to facilitate weaning from support. In 7 patients, extracorporeal support was weaned during this surgery. Follow-up was obtained in all patients over a period ranging from 4 months to 7 years (mean 39.0 +/- 23.0 months). There were two late deaths due to sepsis 1.4 and 2.5 months after extracorporeal support. CONCLUSIONS:
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Authors | Michiaki Imamura, Michael L Schmitz, Bryan Watkins, Carl W Chipman, Sherry C Faulkner, William P Fiser Jr, Stephen H Van Devanter, Jonathan J Drummond-Webb |
Journal | The Annals of thoracic surgery
(Ann Thorac Surg)
Vol. 78
Issue 5
Pg. 1723-7
(Nov 2004)
ISSN: 1552-6259 [Electronic] Netherlands |
PMID | 15511462
(Publication Type: Evaluation Study, Journal Article, Research Support, Non-U.S. Gov't, Review)
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Topics |
- Child, Preschool
- Cyanosis
- Emergencies
- Extracorporeal Membrane Oxygenation
(methods)
- Female
- Follow-Up Studies
- Heart Defects, Congenital
(complications, surgery, therapy)
- Humans
- Hypoxia
(etiology, therapy)
- Infant
- Infant, Newborn
- Male
- Palliative Care
- Pneumonia, Viral
(complications)
- Pulmonary Circulation
- Retrospective Studies
- Risk
- Sepsis
(mortality)
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