Extracorporeal membrane oxygenation for severe heart failure after Fontan operation.
A 10-year-old boy with tricuspid atresia and Glenn anastomosis underwent a modified Fontan operation. After the operation, the pressure in the inferior vena cava increased, leading to oliguria and ascites. After the creation of continuity between the superior vena cava and the inferior vena cava to reduce the pressure gradient, there remained an elevated right atrial pressure. Six days of extracorporeal membrane oxygenation effectively stabilized his hemodynamics and organ function and allowed an excellent outcome.
Saito
A
A
Department of Thoracic and Cardiovascular Surgery, Niigata University School of Medicine, Japan.
Miyamura
H
H
Kanazawa
H
H
Ohzeki
H
H
Eguchi
S
S
D000792:Angiography; D001794:Blood Pressure / Q000502:physiology; D002648:Child; D015199:Extracorporeal Membrane Oxygenation; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D006333:Heart Failure / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D008297:Male; D009102:Multiple Organ Failure / Q000000981:diagnostic imaging / Q000628:therapy; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D014261:Tricuspid Valve / Q000002:abnormalities* / Q000601:surgery