Long-term extracorporeal membrane oxygenation in a newborn child after arterial switch operation |
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| Affiliation: | 2. Department of Nursing, University of California, San Diego, San Diego, CA;3. Division of Cardiovascular and Thoracic Surgery, University of California, San Diego, San Diego, CA;1. Division of Pediatric Surgery, Penn State Children''s Hospital, Penn State Health, Hershey, PA, USA;2. Department of Public Health Sciences, The Pennsylvania State University, College of Medicine, Hershey, PA, USA |
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| Abstract: | ![]()
A 7-day-old newborn girl with d-transposition of the great arteries (d-TGA) and complex coronary anatomy developed global myocardial dysfunction after arterial switch operation despite establishment of an effective coronary circulation. Extracorporeal membrane oxygenation was used for circulatory support for 163h after the operation. On day 7 after surgery she was successfully weaned from extracorporeal membrane oxygenation and is currently symptom-free 10 months after the operation. This case illustrates the effectiveness of extracorporeal membrane oxygenation for circulatory support after the arterial switch operation. In such cases, establishing adequate coronary circulation during surgery is mandatory to ensure a successful postoperative myocardial recovery. |
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