Survival after extreme left atrial hypertension and pulmonary hemorrhage in an infant supported with extracorporeal membrane oxygenation for refractory atrial flutter.
OBJECTIVE
We report here the survival of an infant who developed extreme left atrial hypertension and severe pulmonary hemorrhage while supported with extracorporeal membrane oxygenation for refractory atrial flutter. The patient recovered after decompression of the left heart and catheter ablation of the atrioventricular node.


METHODS
Lucile Packard Children's Hospital (Stanford, CA).


METHODS
Chart review.


CONCLUSIONS
Recovery of lung function is possible despite systemic-level left atrial pressure resulting in pulmonary hemorrhage and complete solidification of lung parenchyma on gross inspection. Resolution of pulmonary hemorrhage despite anticoagulation while on extracorporeal membrane oxygenation can occur after relief of left atrial hypertension.
Cisco
Michael J
MJ
Division of Pediatric Cardiology, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA. mjc@stanford.eduBack to Top
Asija
Ritu
R
Dubin
Anne M
AM
Perry
Stanton B
SB
Hanley
Frank L
FL
Roth
Stephen J
SJ
D001282:Atrial Flutter / Q000503:physiopathology / Q000601:surgery; D009202:Cardiomyopathies; D017115:Catheter Ablation; D015199:Extracorporeal Membrane Oxygenation; D006325:Heart Atria / Q000503:physiopathology* / Q000601:surgery; D006470:Hemorrhage / Q000503:physiopathology* / Q000601:surgery; D006801:Humans; D006973:Hypertension / Q000503:physiopathology* / Q000601:surgery; D007223:Infant; D008297:Male; D008485:Medical Audit; D013902:Radiography, Thoracic; D016019:Survival Analysis