Continuous Venovenous Hemodialysis Via Extracorporeal Membrane Oxygenation Pump for Treatment of Hyperammonemia Secondary to Propionic Acidemia in Monochorionic Diamniotic Twin Boys.
Late-preterm twins with propionic acidemia developed severe hyperammonemic encephalopathy at 5 days of age. Continuous venovenous hemodialysis was performed successfully for both infants via extracorporeal membrane oxygenation pump, and both rapidly improved. They were taken off continuous venovenous hemodialysis and extracorporeal membrane oxygenation and discharged with dietary therapy. At 3 years of age, neurodevelopment showed globally delayed milestones.
Saint Louis University School of Medicine, SSM Health Cardinal Glennon Children's Hospital, St Louis, MO.
Joy X
JX
Wen
Saint Louis University School of Medicine, SSM Health Cardinal Glennon Children's Hospital, St Louis, MO.
L Richard
LR
Feldenberg
SSM Health Pediatrics, Arnold, MO.
Elizabeth
E
Abraham
Saint Louis University School of Medicine, SSM Health Cardinal Glennon Children's Hospital, St Louis, MO.
Farouk
F
Sadiq
Saint Louis University School of Medicine, SSM Health Cardinal Glennon Children's Hospital, St Louis, MO.
Katherine M
KM
Christensen
Saint Louis University School of Medicine, SSM Health Cardinal Glennon Children's Hospital, St Louis, MO.
Stephen R
SR
Braddock
D004200:Diseases in Twins / Q000209:etiology / Q000628:therapy*; D015199:Extracorporeal Membrane Oxygenation; D006801:Humans; D022124:Hyperammonemia / Q000209:etiology / Q000628:therapy*; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000209:etiology / Q000628:therapy*; D008297:Male; D056693:Propionic Acidemia / Q000150:complications*; D006435:Renal Dialysis / Q000379:methods*; D014430:Twins, Monozygotic
continuous renal replacement therapy; hemodialysis; prematurity