When is extracorporeal life support worthwhile following repair of congenital heart disease in children?

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
S M LangleyR K Lamb

Abstract

Although the use of extracorporeal life support (ECLS) following repair of congenital heart defects in children is increasing, the criteria for ECLS usage in these patients is not well defined. The overall survival of such patients is disappointingly low and may depend on both the indication for support and the time at which ECLS is commenced. Between January 1993 and December 1996, 727 children underwent surgery for congenital heart defects at our institution with an overall hospital mortality of 5.8% (42 children). Nine of these children were treated with ECLS postoperatively. There were seven males and two females with a mean age of 7.2 months (range 2 weeks-3 years). Seven children could not be weaned from cardiopulmonary bypass (CPB) in the operating theatre. A further two were treated with ECLS later on during the postoperative period (commenced at 14 and 48 h). Full veno-arterial extra corporeal membrane oxygenation (ECMO) support was used in all children except one in whom a left ventricular assist device (LVAD) was used. The median duration of support was 121 h (range 15-648 h). Four children (44%) were weaned from support and two of these are long-term survivors. Of the seven children in whom ECLS was instituted becau...Continue Reading

Citations

Apr 10, 2009·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Bahaaldin AlsoufiGlen S Van Arsdell
May 23, 2002·The Annals of Thoracic Surgery·Brian W Duncan
Nov 7, 2003·The Annals of Thoracic Surgery·Nikoleta S KolovosThomas J Kulik
Nov 24, 1999·Artificial Organs·G WollenekJ Golej
Jun 11, 2003·Annals of Surgery·Max Raymond LanghamJames Lewis Talbert
Jan 16, 2007·Journal of Cardiothoracic Surgery·Sendhil K BalasubramanianRichard K Firmin
Jul 6, 2000·The Annals of Thoracic Surgery·J J JaggersR M Ungerleider
Apr 28, 2006·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Heather A Dickerson, Anthony C Chang
Apr 28, 2006·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Brian W Duncan
Nov 29, 2005·Anesthesiology Clinics of North America·Laura K Diaz, Dean B Andropoulos
Jun 27, 2006·The Annals of Thoracic Surgery·Vinod H ThouraniJoseph M Forbess
Sep 11, 2004·Journal of Intensive Care Medicine·Laurance Lequier
Jan 27, 2006·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Yasumori YamasakiToshikatsu Yagihara
Mar 17, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·C PizarroW I Norwood
Sep 2, 2009·Seminars in Cardiothoracic and Vascular Anesthesia·Dawit T Haile, Gregory J Schears
Oct 11, 2001·Critical Care Medicine·D L Wessel
Jul 13, 2004·Cardiology in the Young·Ross M UngerleiderMichael Silberbach
Jan 11, 2007·The International Journal of Artificial Organs·D L S MoralesC D Fraser
Dec 13, 2005·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Brian W Duncan
Aug 20, 2019·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Roberto LorussoGlenn Whitman

❮ Previous
Next ❯

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.

Artificial Heart & Ventricular Assist Devices

Total artificial hearts (TAH) and ventricular assist devices (VADs) provide cardiac support for patients with end-stage heart disease and have significantly improved the survival of these patients. Discover the latest research on Artificial Heart and Ventricular Assist Devices here.

Related Papers

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
C A ThuysT R Karl
European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
C PizarroW I Norwood
© 2022 Meta ULC. All rights reserved