Extracorporeal membrane oxygenation as a bridge to definitive tracheal surgery in children.
Extracorporeal membrane oxygenation was used as a bridge for three infants with complicated long segment congenital tracheal stenosis to tracheal homograft transplantation with cadaveric tracheal homograft and for one child, with an extensive traumatic tracheal laceration caused by aspiration of a sharp foreign body, to definitive tracheal repair. In all four cases mechanical ventilation was impossible and death almost certain without extracorporeal membrane oxygenation.
Goldman
A P
AP
Cardiothoracic Unit, Great Ormond Street Hospital for Children, London, United Kingdom.
Macrae
D J
DJ
Tasker
R C
RC
Edberg
K E
KE
Mellgren
G
G
Herberhold
C
C
Jacobs
J P
JP
Delius
R E
RE
Elliott
M J
MJ
D002102:Cadaver; D002404:Catheterization; D000075202:Contraindications; D015199:Extracorporeal Membrane Oxygenation; D005547:Foreign Bodies / Q000150:complications; D006801:Humans; D007223:Infant; D011183:Postoperative Complications / Q000628:therapy; D012121:Respiration, Artificial; D013997:Time Factors; D014132:Trachea / Q000293:injuries / Q000637:transplantation; D014135:Tracheal Stenosis / Q000151:congenital / Q000209:etiology / Q000601:surgery* / Q000628:therapy