title: [Extracorporeal membrane oxygenation in primary graft dysfunction in a paediatric double lung transplant: presentation of a case].
abstract: Primary graft dysfunction is a leading cause of morbimortality in the immediate postoperative period of patients undergoing lung transplantation. Among the treatment options are: lung protective ventilatory strategies, nitric oxide, lung surfactant therapy, and supportive treatment with extracorporeal membrane oxygenation (ECMO) as a bridge to recovery of lung function or re-transplant. We report the case of a 9-year-old girl affected by cystic fibrosis who underwent double-lung transplantation complicated with a severe primary graft dysfunction in the immediate postoperative period and refractory to standard therapies. Due to development of multiple organ failure, it was decided to insert arteriovenous ECMO catheters (pulmonary artery-right atrium). The postoperative course was satisfactory, allowing withdrawal of ECMO on the 5th post-surgical day. Currently the patient survives free of rejection and with an excellent quality of life after 600 days of follow up.
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital Universitario y Politécnico La Fe, Valencia, España. Electronic address: lopezcanterom@gmail.es.
authors.forename: M
authors.initials: M
authors.lastname: López-Cantero
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital Universitario y Politécnico La Fe, Valencia, España.
authors.forename: A L
authors.initials: AL
authors.lastname: Grisolía
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital Universitario y Politécnico La Fe, Valencia, España.
authors.forename: R
authors.initials: R
authors.lastname: Vicente
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital Universitario y Politécnico La Fe, Valencia, España.
authors.forename: I
authors.initials: I
authors.lastname: Moreno
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital Universitario y Politécnico La Fe, Valencia, España.
authors.forename: F
authors.initials: F
authors.lastname: Ramos
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital Universitario y Politécnico La Fe, Valencia, España.
authors.forename: J
authors.initials: J
authors.lastname: Porta
authors.affiliation: Servicio de Cirugía Cardíaca, Hospital Universitario y Politécnico La Fe, Valencia, España.
authors.forename: S
authors.initials: S
authors.lastname: Torregrosa
mesh_terms: D002648:Child; D003550:Cystic Fibrosis / Q000601:surgery; D015199:Extracorporeal Membrane Oxygenation / Q000295:instrumentation; D005260:Female; D006325:Heart Atria; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology / Q000628:therapy; D016040:Lung Transplantation; D009102:Multiple Organ Failure / Q000209:etiology / Q000628:therapy*; D055031:Primary Graft Dysfunction / Q000150:complications*; D011651:Pulmonary Artery; D011652:Pulmonary Circulation; D019737:Transplants / Q000098:blood supply; D062666:Vascular Access Devices
keywords: Calidad de vida; Complicaciones; Complications; Cystic fibrosis; Disfunción primaria del injerto; Extracorporeal membrane oxygenator; Fibrosis quística; Lung transplantation; Oxigenador de membrana extracorpóreo; Paediatrics; Pediatría; Primary graft dysfunction; Quality of life; Trasplante pulmonar