Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지
DOI QR코드

DOI QR Code

Extracorporeal Membrane Oxygenation in a 1,360-g Premature Neonate after Repairing Total Anomalous Pulmonary Venous Return

  • Rhee, Youn Ju (Department of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital, Chungnam National University School of Medicine) ;
  • Han, Sung Joon (Department of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital, Chungnam National University School of Medicine) ;
  • Chong, Yoo Young (Department of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital, Chungnam National University School of Medicine) ;
  • Kang, Min-Woong (Department of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital, Chungnam National University School of Medicine) ;
  • Kang, Shin Kwang (Department of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital, Chungnam National University School of Medicine) ;
  • Yu, Jae-Hyeon (Department of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital, Chungnam National University School of Medicine)
  • Received : 2015.10.06
  • Accepted : 2015.11.03
  • Published : 2016.10.05
Download PDF
⟨ Previous Next ⟩

Abstract

With advancements in complex repairs in neonates with complicated congenital heart diseases, extracorporeal membrane oxygenation (ECMO) has been increasingly used as cardiac support. ECMO has also been increasingly used for low birth weight (LBW) or very low birth weight (VLBW) neonates. However, since prematurity and LBW are risk factors for ECMO, the appropriate indications for neonates with LBW, especially VLBW, are under dispute. We report a case of ECMO performed in a 1,360-g premature infant with VLBW due to cardiopulmonary bypass weaning failure after repairing infracardiac total anomalous pulmonary venous return.

Keywords

References

  1. Delmo Walter EM, Alexi-Meskishvili V, Huebler M, et al. Extracorporeal membrane oxygenation for intraoperative cardiac support in children with congenital heart disease. Interact Cardiovasc Thorac Surg 2010;10:753-8. https://doi.org/10.1510/icvts.2009.220475
  2. Mesher AL, McMullan DM. Extracorporeal life support for the neonatal cardiac patient: outcomes and new directions. Semin Perinatol 2014;38:97-103. https://doi.org/10.1053/j.semperi.2013.11.006
  3. Reddy VM. Low birth weight and very low birth weight neonates with congenital heart disease: timing of surgery, reasons for delaying or not delaying surgery. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2013;16:13-20. https://doi.org/10.1053/j.pcsu.2013.01.004
  4. Wu ET, Huang SC, Wu MH, Wang JK, Chang CI. Rerouting surgery of cardiac type total anomalous pulmonary venous return in a premature newborn with very low birth weight. J Formos Med Assoc 2007;106(2 Suppl):S23-6. https://doi.org/10.1016/S0929-6646(09)60348-X
  5. Alsoufi B, Manlhiot C, Mahle WT, et al. Low-weight infants are at increased mortality risk after palliative or corrective cardiac surgery. J Thorac Cardiovasc Surg 2014;148: 2508-14.e1. https://doi.org/10.1016/j.jtcvs.2014.07.047
  6. Bhat P, Hirsch JC, Gelehrter S, et al. Outcomes of infants weighing three kilograms or less requiring extracorporeal membrane oxygenation after cardiac surgery. Ann Thorac Surg 2013;95:656-61. https://doi.org/10.1016/j.athoracsur.2012.06.041
  7. Gelehrter S, Fifer CG, Armstrong A, Hirsch J, Gajarski R. Outcomes of hypoplastic left heart syndrome in low-birthweight patients. Pediatr Cardiol 2011;32:1175-81. https://doi.org/10.1007/s00246-011-0053-2