Journal article
Successful use of extracorporeal membrane oxygenation in a child with obstructive shock due to massive bilateral pulmonary embolism
Perfusion, Vol.33(4), pp.323-325
05/2018
DOI: 10.1177/0267659117736380
PMID: 29058996
Abstract
Acute massive pulmonary embolism (PE) is a very rare condition in children. We report the successful use of veno-arterial extracorporeal membrane oxygenation (VA ECMO) as a lifesaving modality in a child with acute massive PE.
A nine-year-old female with spinal muscular atrophy type 1, chronic respiratory failure with tracheostomy and ventilator dependence presented with tachypnea and hypoxia. She had recent coiling of her pulmonary arterio-venous malformation. A chest computerized tomography scan showed massive bilateral PE. Urgent catheter-directed thrombolysis failed. She was placed on VA-ECMO with stabilization of hemodynamics. She underwent surgical thrombo-embolectomy followed by weaning of ECMO support.
The use of VA ECMO supported the cardio-respiratory status and perfusion to facilitate surgical embolectomy.
Details
- Title: Subtitle
- Successful use of extracorporeal membrane oxygenation in a child with obstructive shock due to massive bilateral pulmonary embolism
- Creators
- Aditya Badheka - Division of Pediatric Critical Care, Stead Family Children's Hospital, University of Iowa, Iowa City, IA, USAPradeep Bangalore Prakash - Division of Pediatric Critical Care, Stead Family Children's Hospital, University of Iowa, Iowa City, IA, USAVeerajalandhar Allareddy - Division of Pediatric Critical Care, Stead Family Children's Hospital, University of Iowa, Iowa City, IA, USA
- Resource Type
- Journal article
- Publication Details
- Perfusion, Vol.33(4), pp.323-325
- DOI
- 10.1177/0267659117736380
- PMID
- 29058996
- ISSN
- 0267-6591
- eISSN
- 1477-111X
- Language
- English
- Date published
- 05/2018
- Academic Unit
- Critical Care; Stead Family Department of Pediatrics
- Record Identifier
- 9984093346902771
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