title: Excessive bleeding on extracorporeal membrane oxygenation after surgical repair of type I truncus arteriosus: A case report.
abstract: Severe bleeding remains the most common complication of extracorporeal membrane oxygenation (ECMO) following surgical repair of congenital heart defects. We present a case of excessive hemorrhage within the first hours on ECMO support after repair of a type I truncus arteriosus. Bleeding control was achieved by surgical repair following failure of conventional interventions to control hemorrhage despite normalization of laboratory coagulation parameters. Aspects associated with bleeding and bleeding control during extracorporeal circulation after cardiac surgery are discussed.
authors.affiliation: Department of Neonatology and Pediatric Intensive Care, University Children's Hospital, Vienna, Austria.
authors.forename: A
authors.initials: A
authors.lastname: Berger
authors.forename: G
authors.initials: G
authors.lastname: Wollenek
authors.forename: M
authors.initials: M
authors.lastname: Hermon
authors.forename: G
authors.initials: G
authors.lastname: Burda
mesh_terms: D006328:Cardiac Catheterization / Q000009:adverse effects / Q000295:instrumentation; D017707:Erythrocyte Transfusion; D015199:Extracorporeal Membrane Oxygenation / Q000009:adverse effects* / Q000295:instrumentation; D005260:Female; D006489:Hemostatic Techniques; D006801:Humans; D007223:Infant; D010949:Plasma; D017713:Platelet Transfusion; D019106:Postoperative Hemorrhage / Q000209:etiology* / Q000517:prevention & control / Q000601:surgery; D012086:Reoperation; D014339:Truncus Arteriosus, Persistent / Q000601:surgery*