Abstract |
Extracorporeal membrane oxygenation (ECMO) is a life-saving treatment for neonates who have severe respiratory failure that does not respond to maximal conventional therapy. A consequence of venoarterial ECMO is the sacrifice of the right common carotid artery. Evaluation of the impact of a single carotid artery in babies treated with ECMO concerns mostly long-term neurodevelopmental outcome. The authors encountered a peculiar problem caused by a single carotid artery in a post-ECMO patient during the surgical correction of aortic coarctation with hypoplastic distal aortic arch. For patients with a confirmed cardiac malformation that necessitates future surgical repair and for whom ECMO support is required, reconstruction of the right common carotid artery should be considered. Veno-venous ECMO is an alternative solution if this approach is not contraindicated because of the patient's clinical condition. Patients with congenital diaphragmatic hernia have a higher incidence of cardiac malformations; therefore, careful cardiological attention is required. Anomalies masked by pulmonary hypertension also must be considered.
|
Authors | M Schöller, F vd Staak, K D Liem, J M Draaisma, L K Lacquet, C Festen |
Journal | Journal of pediatric surgery
(J Pediatr Surg)
Vol. 29
Issue 12
Pg. 1532-3
(Dec 1994)
ISSN: 0022-3468 [Print] United States |
PMID | 7877018
(Publication Type: Case Reports, Journal Article)
|
Topics |
- Aortic Coarctation
(etiology, surgery)
- Extracorporeal Membrane Oxygenation
(adverse effects)
- Hernia, Diaphragmatic
(therapy)
- Hernias, Diaphragmatic, Congenital
- Humans
- Infant, Newborn
- Male
|