Hostname: page-component-8448b6f56d-42gr6 Total loading time: 0 Render date: 2024-04-25T00:46:51.360Z Has data issue: false hasContentIssue false
  • English
  • Français

Successful preoperative bridge with extracorporeal membrane oxygenation in three neonates with D-transposition of the great vessels and pulmonary hypertension

Part of: Transposition of Great Arteries Surgery

Published online by Cambridge University Press:  11 July 2018

Ahmed S. Said ,
Mary E. McBride  and
Avihu Z. Gazit
Ahmed S. Said
Affiliation:
Department of Pediatrics, Division of Critical Care, Washington University in St. Louis, St. Louis, MO, USA
Mary E. McBride
Affiliation:
Department of Pediatrics, Divisions of Cardiology and Critical Care, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
Avihu Z. Gazit*
Affiliation:
Department of Pediatrics, Division of Critical Care, Washington University in St. Louis, St. Louis, MO, USA
*
Author for correspondence: A. Z. Gazit, 660S. Euclid ave, Campus Box 8116, St. Louis, MO 63110, USA. Tel: +314 286 1246; Fax +13147478880. Email: Gazit_a@wustl.edu
Get access Rights & Permissions [Opens in a new window]

Abstract

Pulmonary hypertension with transposition of the great arteries is associated with significant morbidity and mortality. At the worst end of the spectrum are patients who undergo extracorporeal support perioperatively. We describe our experience with three patients who received preoperative extracorporeal support and separated from cardiopulmonary bypass successfully on conventional postoperative care, with no significant deficits on follow-up.

Keywords

ECMOPPHND-TGAarterial switchintensive care
Type
Brief Report
Information
Cardiology in the Young , Volume 28 , Issue 9 , September 2018 , pp. 1175 - 1177
Check for updates
Copyright
© Cambridge University Press 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Cite this article: Said AS, McBride ME, Gazit AZ (2018) Successful preoperative bridge with extracorporeal membrane oxygenation in three neonates with D-transposition of the great vessels and pulmonary hypertension. Cardiology in the Young28: 1175–1177. doi: 10.1017/S1047951118001038

References

1. Kirklin, JW, Blackstone, EH, Tchervenkov, CI, Castaneda, AR. Clinical outcomes after the arterial switch operation for transposition. Patient, support, procedural, and institutional risk factors. Congenital Heart Surgeons Society. Circulation 1992; 86: 1501–1515.CrossRefGoogle ScholarPubMed
2. Chang, AC, Wernovsky, G, Kulik, TJ, Jonas, RA, Wessel, DL. Management of the neonate with transposition of the great arteries and persistent pulmonary hypertension. Am J Cardiol 1991; 68: 1253–1255.CrossRefGoogle ScholarPubMed
3. El-Segaier, M, Hellstrom-Westas, L, Wettrell, G. Nitric oxide in neonatal transposition of the great arteries. Acta Paediatr 2005; 94: 912–916.Google Scholar
4. Jaillard, S, Belli, E, Rakza, T, et al. Preoperative ECMO in transposition of the great arteries with persistent pulmonary hypertension. Ann Thorac Surg 2005; 79: 2155–2158.CrossRefGoogle ScholarPubMed
5. Kovach, J, Ibsen, L, Womack, M, Steusse, D, Law, YM. Treatment of refractory pulmonary arterial hypertension with inhaled epoprostenol in an infant with congenital heart disease. Congenit Heart Dis 2007; 2: 194–198.Google Scholar
6. Goissen, C, Ghyselen, L, Tourneux, P, et al. Persistent pulmonary hypertension of the newborn with transposition of the great arteries: successful treatment with bosentan. Eur J Pediatr 2008; 167: 437–440.CrossRefGoogle ScholarPubMed
7. Luciani, GB, Chang, AC, Starnes, VA. Surgical repair of transposition of the great arteries in neonates with persistent pulmonary hypertension. Ann Thorac Surg 1996; 61: 800–805.Google Scholar
8. Trittenwein, G, Furst, G, Golej, J, et al. Preoperative ECMO in congenital cyanotic heart disease using the AREC system. Ann Thorac Surg 1997; 63: 1298–1302.CrossRefGoogle ScholarPubMed
9. Roofthooft, MT, Bergman, KA, Waterbolk, TW, Ebels, T, Bartelds, B, Berger, RM. Persistent pulmonary hypertension of the newborn with transposition of the great arteries. Ann Thorac Surg 2007; 83: 1446–1450.CrossRefGoogle ScholarPubMed
10. Khairy, P, Clair, M, Fernandes, SM, et al. Cardiovascular outcomes after the arterial switch operation for D-transposition of the great arteries. Circulation 2013; 127: 331–339.Google Scholar
11. Gill, BS, Neville, HL, Khan, AM, Cox, CS Jr, Lally, KP. Delayed institution of extracorporeal membrane oxygenation is associated with increased mortality rate and prolonged hospital stay. J Pediatr Surg 2002; 37: 7–10.Google Scholar