Modification of an extracorporeal life support circuit for intraoperative correction of complex congenital heart disease.
Extracorporeal life support (ECLS) was established in a newborn infant diagnosed with severe respiratory failure secondary to complex congenital heart disease. After 4 days of ECLS support in the intensive care unit, the infant was brought to the operating room for repair of the primary lesion. Due to concerns related to recurrent respiratory failure associated with blood contact to a new extracorporeal circuit, the existing ECLS circuit was modified for use in the operating room. This report describes the circuit modification steps and challenges related to running a modified ECLS circuit for cardiopulmonary support during cardiac surgery.
Toomasian
John M
JM
Department of Cardiovascular Surgery, Stanford University Medical Center, Stanford, CA 94303, USA. jtgoblue@umich.edu
Vricella
Luca A
LA
Black
Michael D
MD
D006348:Cardiac Surgical Procedures / Q000295:instrumentation*; D004867:Equipment Design; D005112:Extracorporeal Circulation / Q000295:instrumentation*; D006330:Heart Defects, Congenital / Q000601:surgery*; D006331:Heart Diseases / Q000151:congenital / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D019990:Perioperative Care; D012131:Respiratory Insufficiency