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


  • eng

Conference Location

  • England