title: Venovenous ECMO Support in an Infant With Single Ventricle Physiology and Catastrophic Pulmonary Venous Abnormalities.
abstract: Extracorporeal membrane oxygenation (ECMO) is an accepted treatment modality for life support refractory to conventional efforts in neonates with complex congenital heart lesions. Cannulation for ECMO can be accomplished by venovenous (VV) access where patients receive primarily respiratory support or venoarterial (VA) access which provides complete cardiopulmonary support. VV ECMO delivered by a single-vessel cannulation with a dual-chamber venous cannula allows for respiratory support while the patient remains dependent upon intrinsic cardiac function to support hemodynamics. We present a case of support of a newborn with single ventricle physiology and intraparenchymal near-atresia of the pulmonary veins using VV ECMO.
authors.affiliation: 1 Division of Cardiothoracic Intensive Care, Nationwide Children's Hospital, The Ohio State University, Columbus, OH, USA.
authors.forename: Richard P
authors.initials: RP
authors.lastname: Fernandez
authors.affiliation: 2 Division of Pulmonary Medicine, Nationwide Children's Hospital, The Ohio State University, Columbus, OH, USA.
authors.forename: Don
authors.initials: D
authors.lastname: Hayes
authors.affiliation: 3 Division of Cardiothoracic Surgery, Nationwide Children's Hospital, The Ohio State University, Columbus, OH, USA.
authors.forename: Patrick I
authors.initials: PI
authors.lastname: McConnell
authors.affiliation: 4 Division of Cardiolgy, Nationwide Children;s Hospital, The Ohio State University, Columbus, OH, USA.
authors.forename: Darren
authors.initials: D
authors.lastname: Berman
mesh_terms: D000015:Abnormalities, Multiple / Q000628:therapy*; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000628:therapy*; D007231:Infant, Newborn; D011667:Pulmonary Veins / Q000002:abnormalities*; D054079:Vascular Malformations / Q000628:therapy*
keywords: extracorporeal membrane oxygenation; pediatrics; pulmonary vein anomaly; single ventricle physiology; venovenous