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Two Cases of Neonatal Persistent Pulmonary Hypertension Treated by Veno-venous Extracorporeal Membrane Oxygenation (V-V ECMO)  

Yu, Hee-Joon (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Sung, Se-In (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Kim, Jin-Kyu (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Seo, Hyun-Joo (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Choi, Seo-Heui (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Yoo, Hye-Soo (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Ahn, So-Yoon (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Kim, Eun-Sun (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Yang, Ji-Hyuk (Department of Thoracic & Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Huh, June (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Chang, Yun-Sil (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Kang, I-Seok (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Jun, Tae-Kook (Department of Thoracic & Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Park, Won-Soon (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Publication Information
Neonatal Medicine / v.17, no.1, 2010 , pp. 109-115 More about this Journal
Abstract
Persistent pulmonary hypertension in newborns (PPHN) is a disorder of the vascular transition from fetal to neonatal circulation. It results in cyanosis due to right-to-left shunting of the blood through the ductus arteriosus and/or foramen ovale manifesting as hypoxemic respiratory failure. We managed two cases of PPHN after meconium aspiration with high frequency oscillating ventilators and inhaled nitric oxide. They did not respond to conventional management. Veno-venous extracorporeal membrane oxygenation (ECMO) was provided, and ECMO weaning was possible resulting survivals in two cases. We report two PPHN cases, which were treated successfully with veno-venous ECMO for the first time in Korea.
Keywords
Persistent pulmonary hypertension of the newborn; Meconium aspiration syndrome; Respiratory failure; Veno-veno extracorporeal membrane oxygenation;
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