title: Lactate clearance for initiating and weaning off extracorporeal membrane oxygenation in a child with regressed left ventricle after arterial switch operation.
abstract: We hereby report a child with transposition of great arteries and regressed ventricle who underwent arterial switch operation (ASO) with the aid of cardiopulmonary bypass and "integrated" extracorporeal membrane oxygenation (ECMO) circuit. The significance of lactate clearance as a guide to initiate and terminate veno-arterial ECMO in a post ASO child with regressed left ventricle is discussed.
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Sarvesh Pal
authors.initials: SP
authors.lastname: Singh
authors.forename: Sandeep
authors.initials: S
authors.lastname: Chauhan
authors.forename: A K
authors.initials: AK
authors.lastname: Bisoi
authors.forename: Manoj
authors.initials: M
authors.lastname: Sahoo
mesh_terms: D000069278:Arterial Switch Operation / Q000379:methods*; D001784:Blood Gas Analysis; D001026:Coronary Artery Bypass; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D006439:Hemodynamics; D006801:Humans; D007223:Infant; D019344:Lactic Acid / Q000378:metabolism*; D008297:Male; D014188:Transposition of Great Vessels / Q000150:complications / Q000601:surgery*; D018487:Ventricular Dysfunction, Left / Q000601:surgery*
chemical_list: D019344:Lactic Acid