Korean J Thorac Cardiovasc Surg.  1999 Jan;32(1):53-57.

Extracorporeal Membrane Oxygenation in the Patient with Cardiopulmonary Resuscitation Failure after Open Heart Surgery: A Case Report

• Jun HJ
• Sung SC
• Woo CS
• Lee HG

Abstract

We describe a case of successful extracorporeal membrane oxygenation(ECMO) in a small infant with cardiopulmonary resuscitation(CPR) failure after an open heart surgery. A 35-day-old male infant weighing 4.4 kg who had congestive heart failure and pulmonary hypertension underwent patch closure of ventricular septal defect without any intraoperative event. Postoperative course was unremarkable in the intensive care uint for about 5 hours before the junctional ectopic tachycardia developed. Sudden cardiac decompensation with bradycardia occurred about 50 minutes after the development of junctional ectopic tachycardia. He was put on ECMO by arterial cannulation at the ascending aorta and by venous cannulation at the right atrial appendage after 4 hours' CPR. The hemodynamics were stable with enough urine output during ECMO. He was weaned from ECMO 38.5 hours after initiation. Delayed sternal closure was attempted. He was extubated on postoperative day 7 and discharged home on postoperative day 21 without any neurologic sequelae.

Keyword

Extracorporeal membrane oxygenation; heart surgery

MeSH Terms

Aorta
Atrial Appendage
Bradycardia
Cardiopulmonary Resuscitation*
Catheterization
Extracorporeal Membrane Oxygenation*
Heart Failure
Heart Septal Defects, Ventricular
Heart*
Hemodynamics
Humans
Hypertension, Pulmonary
Infant
Critical Care
Male
Membranes
Tachycardia, Ectopic Junctional
Thoracic Surgery*