title: A child with anterior mediastinal mass supported with veno-arterial extracorporeal membrane oxygenation.
abstract: 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.
authors.affiliation: Department of Anesthesiology, Children's Hospital of Philadelphia, USA.
authors.forename: Talya K E
authors.initials: TK
authors.lastname: Frey
authors.forename: Arun
authors.initials: A
authors.lastname: Chopra
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Lin
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Levy
authors.forename: Peter
authors.initials: P
authors.lastname: Gruber
authors.forename: Susan R
authors.initials: SR
authors.lastname: Rheingold
authors.forename: K Sarah
authors.initials: KS
authors.lastname: Hoehn
mesh_terms: 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*
chemical_list: D000970:Antineoplastic Agents