title: Successful support and separation from veno-venous extracorporeal membrane oxygenation support in a three-month-old patient following bidirectional Glenn procedure.
abstract: While extracorporeal membrane oxygenation (ECMO) is a useful mechanism of providing support in pediatric patients with cardiopulmonary dysfunction following surgery for congenital heart disease, outcomes have varied dramatically between distinct cardiac diagnoses. Reported outcomes of ECMO support following a bidirectional Glenn procedure in patients with single ventricle physiology are uniformly poor due in part to physiological and anatomical challenges inherent to cannulation in this population. We describe a unique veno-venous cannulation that can be applied to this patient population and has allowed for successful decannulation in our practice.
authors.affiliation: Department of Surgery, University of Pennsylvania School of Medicine, Children's Hospital of Philadelphia, Suite 12NW23 Main, 34th and Civic Center Blvd., Philadelphia, PA 19104, USA.
authors.forename: Liam P
authors.initials: LP
authors.lastname: Ryan
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Montenegro
authors.forename: Geoffrey L
authors.initials: GL
authors.lastname: Bird
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Gruber
mesh_terms: D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000601:surgery*; D000860:Hypoxia / Q000209:etiology / Q000628:therapy*; D007223:Infant; D008297:Male