title: Use of extracorporeal membrane oxygenation in the management of septic shock with severe cardiac dysfunction after Ravitch procedure.
abstract: We report the case of an 18-year-old patient who underwent Ravitch procedure for pectus carinatum and subsequently had septic shock develop with severe cardiac dysfunction requiring treatment with extracorporeal membrane oxygenation. We advocate the use of extracorporeal membrane oxygenation in adult patients with intractable cardiorespiratory failure due to sepsis post-thoracic surgery unresponsive to conventional therapy.
authors.affiliation: Wessex Cardiothoracic Centre, Southampton University Hospitals NHS Trust, Southampton, United Kingdom.
authors.forename: Hunaid A
authors.initials: HA
authors.lastname: Vohra
authors.forename: Louise
authors.initials: L
authors.lastname: Adamson
authors.forename: David F
authors.initials: DF
authors.lastname: Weeden
authors.forename: Marcus P
authors.initials: MP
authors.lastname: Haw
mesh_terms: D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D018450:Disease Progression; D004322:Drainage / Q000379:methods; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D005500:Follow-Up Studies; D005660:Funnel Chest / Q000175:diagnosis / Q000601:surgery; D006333:Heart Failure / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008297:Male; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods; D018570:Risk Assessment; D012772:Shock, Septic / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000628:therapy*; D013530:Surgical Wound Infection / Q000382:microbiology / Q000503:physiopathology / Q000628:therapy*; D013908:Thoracotomy / Q000009:adverse effects / Q000379:methods; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents