Hidden Harlequin syndrome in neonatal and pediatric VA-ECMO

[...]the reduction in the left ventricular preload by a large interatrial communication or the presence of LV dysfunction may be so important that the aortic valve remains closed, VA-ECMO then provides full circulatory support, no HS exists and the coronaries arteries are well oxygenated (Fig. 1C)....

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Published inCritical care (London, England) Vol. 26; no. 1; p. 146
Main Authors Levy, Yael, Starck, Julie, Mary, Anne-Lise, Soreze, Yohan, Jean, Sandrine, Kreitmann, Bernard, Léger, Pierre-Louis, Rambaud, Jerome
Format Journal Article
LanguageEnglish
Published England BioMed Central Ltd 20.05.2022
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Abstract [...]the reduction in the left ventricular preload by a large interatrial communication or the presence of LV dysfunction may be so important that the aortic valve remains closed, VA-ECMO then provides full circulatory support, no HS exists and the coronaries arteries are well oxygenated (Fig. 1C). [...]adding a re-injection cannula in the femoral vein to offer a hybrid veno-arterio-venous ECMO will help to ensure coronary oxygenation by potentially increasing transpulmonary blood flow and oxygen content of pulmonary blood at the cost of recirculation [5]. [...]HS must be suspected and prevented in all VA-ECMO patients in order to avoid a prolongated or a secondary/recurrent cardiac dysfunction.
AbstractList [...]the reduction in the left ventricular preload by a large interatrial communication or the presence of LV dysfunction may be so important that the aortic valve remains closed, VA-ECMO then provides full circulatory support, no HS exists and the coronaries arteries are well oxygenated (Fig. 1C). [...]adding a re-injection cannula in the femoral vein to offer a hybrid veno-arterio-venous ECMO will help to ensure coronary oxygenation by potentially increasing transpulmonary blood flow and oxygen content of pulmonary blood at the cost of recirculation [5]. [...]HS must be suspected and prevented in all VA-ECMO patients in order to avoid a prolongated or a secondary/recurrent cardiac dysfunction.
ArticleNumber 146
Audience Academic
Author Léger, Pierre-Louis
Mary, Anne-Lise
Levy, Yael
Kreitmann, Bernard
Rambaud, Jerome
Jean, Sandrine
Starck, Julie
Soreze, Yohan
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10.1016/j.jpedsurg.2013.09.029
10.1161/CIRCULATIONAHA.114.011677
10.1093/icvts/ivv035
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References MM Hoeper (4017_CR4) 2014; 130
F Ius (4017_CR5) 2015; 20
SM Johnson (4017_CR1) 2014; 49
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  year: 2014
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  publication-title: J. Pediatr. Surg.
  doi: 10.1016/j.jpedsurg.2013.09.029
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    fullname: SM Johnson
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  publication-title: Circulation
  doi: 10.1161/CIRCULATIONAHA.114.011677
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    fullname: MM Hoeper
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  publication-title: Interact Cardiovasc Thorac Surg
  doi: 10.1093/icvts/ivv035
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    fullname: F Ius
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SubjectTerms Autonomic Nervous System Diseases
Blood oxygenation, Extracorporeal
Child
Complications and side effects
Coronary vessels
Correspondence
Critical care
Diagnosis
Extracorporeal Membrane Oxygenation
Flushing
Human health and pathology
Humans
Hypohidrosis
Infant, Newborn
Lamellar ichthyosis
Life Sciences
Pediatric research
Pediatrics
Retrospective Studies
Veins & arteries
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Title Hidden Harlequin syndrome in neonatal and pediatric VA-ECMO
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