PMID: 592070Dec 1, 1977

Management of pulmonary insufficiency in diaphragmatic hernia using extracorporeal circulation with a membrane oxygenator (ECMO)

Journal of Pediatric Surgery
J C GermanR H Bartlett


Persistent fetal circulation (PFC) causes severe pulmonary insufficiency in patients who have demonstrated adequate lung function following diaphragmatic hernia repair. Patent ductus arteriosus (PDA) ligation corrects this condition, but carries the risk of sudden right ventricular failure. Pharmacologic reversal of PFC may be attempted, and if unsuccessful, prolonged venoarterial bypass becomes necessary to provide effective pulmonary support. PDA ligation can then be performed safely and maturation of the pulmonary vasculature allowed to occur. Pulmonary artery pressure monitoring is essential.


Oct 1, 1975·Journal of Pediatric Surgery·R W Starrett, A A de Lorimier
Apr 1, 1976·American Journal of Surgery·A W Dibbins
Oct 1, 1974·Journal of Pediatric Surgery·A W Dibbins, E S Wiener
Oct 1, 1973·Journal of Pediatric Surgery·R C Raphaely, J J Downes
Aug 1, 1955·Annals of Surgery·R P CAMPANALE, R H ROWLAND
Jan 26, 1963·British Medical Journal·W AREECHON, L REID


Feb 1, 1984·Journal of Pediatric Surgery·R T SoperJ C Scofield
Jul 17, 2003·Pediatric Case Reviews·H L Hedrick
May 1, 1981·Archives of Disease in Childhood·E Sumner, J D Frank
Apr 1, 1983·Thorax·U R NairD R Walker
Dec 3, 2014·Seminars in Fetal & Neonatal Medicine·Enrico Danzer, H L Hedrick
Jun 1, 1986·European Journal of Obstetrics, Gynecology, and Reproductive Biology·A CalistiL Perrelli
Dec 26, 2007·Seminars in Pediatric Surgery·Björn Frenckner, Peter Radell
Apr 28, 2007·Seminars in Pediatric Surgery·Matthew T Harting, K P Lally
Nov 1, 1994·Journal of Pediatric Surgery·M NagayaJ Kato
Jun 1, 1984·Journal of Pediatric Surgery·R J Touloukian, R I Markowitz
Apr 1, 1984·Journal of Pediatric Surgery·K C PringleR T Soper
Apr 29, 2014·Revista portuguesa de pneumologia·G RochaR Roncon-Albuquerque
Feb 2, 2015·Journal of Pediatric Surgery·Mark DavenportMark L Wulkan
Feb 12, 2013·Seminars in Pediatric Surgery·H L Hedrick
Nov 12, 2016·Pediatric Surgery International·Jamie GoldenDavid Bliss
Sep 1, 1977·Irish Journal of Medical Science·R J Fitzgerald
May 6, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Ricky VajaChris Harvey
Jan 7, 2017·Pediatric Surgery International·H Kitagawa, K C Pringle

Related Concepts

Patent Ductus Arteriosus Familial
Extracorporeal Circulation
Diaphragmatic Hernia
Oxygenators, Membrane
Postoperative Complications
Respiratory Failure

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