Switch to Extracorporeal Membrane Oxygenation During Cardiac and Tracheal Repair.
Journal
The Annals of thoracic surgery
ISSN: 1552-6259
Titre abrégé: Ann Thorac Surg
Pays: Netherlands
ID NLM: 15030100R
Informations de publication
Date de publication:
09 2020
09 2020
Historique:
received:
10
12
2019
revised:
11
01
2020
accepted:
14
01
2020
pubmed:
3
3
2020
medline:
6
11
2020
entrez:
3
3
2020
Statut:
ppublish
Résumé
Simultaneous repair of congenital tracheal and cardiovascular lesions remains challenging in small patients. We describe two infants weighing less than 3 kg who underwent successful tracheoplasty with concomitant correction of complex heart anomalies. In both operations, cardiopulmonary bypass was switched to extracorporeal membrane oxygenation after cardiac repair to optimize hemostatic function with transfusion and maintain activated clotting time at 200 to 240 seconds. Slide tracheoplasty was performed in a bloodless field, which prevented intraoperative hemorrhage from running down the divided lower trachea into the lung and causing airway obstruction. Both patients were weaned from extracorporeal support during surgery and extubated within 9 days.
Identifiants
pubmed: 32119857
pii: S0003-4975(20)30251-4
doi: 10.1016/j.athoracsur.2020.01.037
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e181-e183Informations de copyright
Copyright © 2020 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.