Successful use of extracorporeal membrane oxygenation in a child with obstructive shock due to massive bilateral pulmonary embolism.
Journal Article (Journal Article)
BACKGROUND: Acute massive pulmonary embolism (PE) is a very rare condition in children. We report the successful use of veno-arterial extracorporeal membrane oxygenation (VA ECMO) as a lifesaving modality in a child with acute massive PE. CASE PRESENTATION: A nine-year-old female with spinal muscular atrophy type 1, chronic respiratory failure with tracheostomy and ventilator dependence presented with tachypnea and hypoxia. She had recent coiling of her pulmonary arterio-venous malformation. A chest computerized tomography scan showed massive bilateral PE. Urgent catheter-directed thrombolysis failed. She was placed on VA-ECMO with stabilization of hemodynamics. She underwent surgical thrombo-embolectomy followed by weaning of ECMO support. DISCUSSION: The use of VA ECMO supported the cardio-respiratory status and perfusion to facilitate surgical embolectomy.
Full Text
Duke Authors
Cited Authors
- Badheka, A; Bangalore Prakash, P; Allareddy, V
Published Date
- May 2018
Published In
Volume / Issue
- 33 / 4
Start / End Page
- 323 - 325
PubMed ID
- 29058996
Electronic International Standard Serial Number (EISSN)
- 1477-111X
Digital Object Identifier (DOI)
- 10.1177/0267659117736380
Language
- eng
Conference Location
- England