title: Survival after extreme left atrial hypertension and pulmonary hemorrhage in an infant supported with extracorporeal membrane oxygenation for refractory atrial flutter.
abstract: 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.
authors.affiliation: Division of Pediatric Cardiology, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA. mjc@stanford.eduBack to Top
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Cisco
authors.forename: Ritu
authors.initials: R
authors.lastname: Asija
authors.forename: Anne M
authors.initials: AM
authors.lastname: Dubin
authors.forename: Stanton B
authors.initials: SB
authors.lastname: Perry
authors.forename: Frank L
authors.initials: FL
authors.lastname: Hanley
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Roth
mesh_terms: 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