A child with anterior mediastinal mass supported with veno-arterial extracorporeal membrane oxygenation.
OBJECTIVE
To demonstrate the utility of rescue with veno-arterial extracorporeal membrane oxygenation (VA-ECMO) and to demonstrate the feasibility of administration of chemotherapy during VA-ECMO in a child with an anterior mediastinal mass.


METHODS
Case report.


METHODS
Large, tertiary care, pediatric intensive care unit.


METHODS
One patient with cardiopulmonary collapse in the setting of a new diagnosis of an anterior mediastinal mass.


METHODS
Cardiopulmonary support with VA-ECMO; administration of chemotherapy during VA-ECMO.


RESULTS
Successful rescue with VA-ECMO and successful chemotherapy while on VA-ECMO.


CONCLUSIONS
VA-ECMO can be successfully used to support patients with cardiopulmonary failure during initial diagnosis of an anterior mediastinal mass. In addition, we have demonstrated that successful chemotherapy can be administered while the patient is supported on VA-ECMO.
Frey
Talya K E
TK
Department of Anesthesiology, Children's Hospital of Philadelphia, USA.
Chopra
Arun
A
Lin
Richard J
RJ
Levy
Richard J
RJ
Gruber
Peter
P
Rheingold
Susan R
SR
Hoehn
K Sarah
KS
D000970:Antineoplastic Agents / Q000627:therapeutic use*; D002648:Child; D015199:Extracorporeal Membrane Oxygenation; D006323:Heart Arrest / Q000150:complications / Q000628:therapy*; D006801:Humans; D008228:Lymphoma, Non-Hodgkin / Q000150:complications / Q000188:drug therapy*; D008297:Male; D008479:Mediastinal Neoplasms / Q000150:complications / Q000188:drug therapy*
D000970:Antineoplastic Agents