J Korean Soc Neonatol.
2009 May;16(1):64-70.
Four Cases of Extracorporeal Membrane Oxygenation for Congenital Diaphragmatic Hernia
- Affiliations
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- 1Department of Pediatrics, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea. drpsj@amc.seoul.kr
- 2Department of Thoracic & Cardiovascular Surgery, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea.
- 3Department of Pediatric Surgery, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea.
Abstract
- Congenital diaphragmatic hernia (CDH) with severe pulmonary hypoplasia is associated with significant mortality. Recently, several new therapeutic methods have been suggested, such as high- frequency oscillatory ventilation and inhaled nitric oxide. For hypoxemic respiratory failure unresponsive to these advanced medical treatment options, extracorporeal membrane oxygenation (ECMO) serves as the last potentially effective treatment. An understanding of the pathophysiology of pulmonary hypertension associated with CDH led to a strategy involving preoperative stabilization and delayed surgical intervention with ECMO. We describe four cases of ECMO, including the first report of ECMO for neonatal CDH in Korea.
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