title: Pre-cannulation lung biopsy shortens ECMO course.
abstract: We describe the clinical course of an infant with respiratory failure who underwent lung biopsy prior to cannulation for undergoing extracorporeal membrane oxygenation (ECMO). Pathology revealed alveolar capillary dysplasia, and ECMO was discontinued. Rapid diagnosis allowed for closure and saved resources. We recommend considering early biopsy in infants with atypical pulmonary hypertension.
authors.affiliation: Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA. lohmann@bcm.edu.|Texas Children's Hospital, Houston, TX, USA. lohmann@bcm.edu.
authors.forename: Pablo
authors.initials: P
authors.lastname: Lohmann
authors.affiliation: Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA.|Texas Children's Hospital, Houston, TX, USA.
authors.forename: Timothy C
authors.initials: TC
authors.lastname: Lee
authors.affiliation: Department of Pathology and Immunology, Baylor College of Medicine, Houston, TX, USA.|Texas Children's Hospital, Houston, TX, USA.
authors.forename: Debra L
authors.initials: DL
authors.lastname: Kearney
authors.affiliation: Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA.|Texas Children's Hospital, Houston, TX, USA.
authors.forename: Caraciolo J
authors.initials: CJ
authors.lastname: Fernandes
mesh_terms: D001706:Biopsy / Q000379:methods*; D002404:Catheterization / Q000379:methods*; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D006801:Humans; D007231:Infant, Newborn; D008168:Lung / Q000473:pathology*; D008297:Male; D010547:Persistent Fetal Circulation Syndrome / Q000150:complications / Q000628:therapy*; D011650:Pulmonary Alveoli / Q000002:abnormalities*; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy*
keywords: Alveolar capillary dysplasia; Lung biopsy; Neonate; Pulmonary hypertension