Extracorporeal membrane oxygenation in adult congenital heart disease: A case series and literature review

Maybauer, Marc O., Vohra, Akbar, Keeffe, Niall J. O., Prodromou, Ourania E., Maher, Wael, Haravi, Hoeda, Mountney, Katrina and Hoschtitzky, Johann A. (2017) Extracorporeal membrane oxygenation in adult congenital heart disease: A case series and literature review. Critical Care and Resuscitation, 19 15-20.

Author Maybauer, Marc O.
Vohra, Akbar
Keeffe, Niall J. O.
Prodromou, Ourania E.
Maher, Wael
Haravi, Hoeda
Mountney, Katrina
Hoschtitzky, Johann A.
Title Extracorporeal membrane oxygenation in adult congenital heart disease: A case series and literature review
Journal name Critical Care and Resuscitation   Check publisher's open access policy
ISSN 1441-2772
Publication date 2017-10-01
Sub-type Article (original research)
Open Access Status Not yet assessed
Volume 19
Start page 15
End page 20
Total pages 6
Place of publication Strawberry Hills, NSW Australia
Publisher Australasian Medical Publishing
Language eng
Subject 2711 Emergency Medicine
2706 Critical Care and Intensive Care Medicine
2703 Anesthesiology and Pain Medicine
Abstract Objective: Extracorporeal membrane oxygenation (ECMO) can be used as rescue intervention for cardiac and/or respiratory failure. High-risk adult patients with adult congenital heart disease (ACHD) may require pre- and post-operative ECMO support. Design, setting and participants: Retrospective data collection within a five-year time period from 2011 to 2016, at a single-centre study at a tertiary university hospital and regional unit for ACHD. Patients with ACHD in cardiogenic shock or failure to be separated from cardio-pulmonary bypass (CPB) were included. Intervention: Venoarterial (VA) ECMO. Results: Three patients had Ebstein anomaly and one patient had a double-outlet right ventricle transposition type and severe atrioventricular valve insufficiency. Three male patients and one female patient were aged ranging from 19 to 52 years. All received VA ECMO, two each with central or peripheral cannulation. The mean duration of ECMO support was 7 days (range, 3–13 days) and bleeding complications were the main complications observed, with a range of 12 to 104 blood products used. One patient required renal replacement therapy for acute kidney injury and also had leg ischaemia. Main outcome measures: Two of four patients (50%) were successfully weaned offECMO and survived to hospital discharge in this high-risk group of patients in severe heart failure. The patients are currently at 3 and 4 years follow-up, with improved mobility and exercise tolerance compared with pre-operatively. Conclusion: ECMO is a promising temporary rescue intervention for patients with ACHD and cardiogenic shock. The extracorporeal cardiac support is a useful bridge to recovery.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
Versions
Version Filter Type
Citation counts: Scopus Citation Count Cited 4 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Fri, 02 Feb 2018, 09:47:32 EST