Prolonged extracorporeal membrane oxygenation as a bridge to cardiac transplantation

• Published in: The Annals of thoracic surgery Vol. 69; no. 3; pp. 925 - 927
• Main Authors: Di Russo, Gregory B, Clark, Bernard J, Bridges, Nancy D, Godinez, Rodolfo I, Paridon, Stephen M, Spray, Thomas L, Gaynor, J.William
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.03.2000; Elsevier Science
• Subjects: Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Biological and medical sciences; Cardiac Output, Low - surgery; Ebstein Anomaly - surgery; Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care; Extracorporeal Membrane Oxygenation; Female; Heart Transplantation; Humans; Infant, Newborn; Intensive care medicine; Medical sciences; Preoperative Care; Time Factors; Human; Intensive cardiocirculatory care; Membrane oxygenator; Pathophysiology; Treatment efficiency; Cardiovascular disease; Congenital disease; Long term; Ebstein anomaly of the tricuspid valve; Case study; Concomitant disease; Newborn; Treatment; Cardiac valvular disease; Low cardiac output; Technique; Tricuspid valve
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/S0003-4975(99)01362-4

Cardiac transplantation provides the best option for neonates with congenital heart disease that is not amenable to surgical repair or palliation. The scarcity of suitable organs for this group has resulted in prolonged waiting times; many infants die awaiting transplantation. We present the case of a newborn with severe Ebstein’s anomaly and low cardiac output who was supported with extracorporeal membrane oxygenation for 1,126 hours, until an appropriate organ became available.