Central extracorporeal membrane oxygenation requiring pulmonary arterial venting after near-drowning

Mitsutoshi Kimura; Osamu Kinoshita; Yoshifumi Fujimoto; Arata Murakami; Takahiro Shindo; Koichi Kashiwa; Minoru Ono

doi:10.1016/j.ajem.2013.09.031

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Central extracorporeal membrane oxygenation requiring pulmonary arterial venting after near-drowning☆☆☆

Mitsutoshi Kimura, MD, PhD

Osamu Kinoshita, MD, PhD

Department of Cardiothoracic Surgery, The University of Tokyo, Tokyo, Japan

Yoshifumi Fujimoto, MD

Department of Cardiovascular Surgery, Shimane University, Shimane, Japan

Arata Murakami, MD, PhD

Department of Cardiovascular Surgery, Gunma Children's Medical Center, Gunma, Japan

Takahiro Shindo, MD

Department of Pediatrics, The University of Tokyo, Tokyo, Japan

Koichi Kashiwa, PhD

Department of Medical Engineering, The University of Tokyo Hospital, Tokyo, Japan

Minoru Ono, MD, PhD

Department of Cardiothoracic Surgery, The University of Tokyo, Tokyo, Japan

DOI: http://dx.doi.org/10.1016/j.ajem.2013.09.031

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Extracorporeal membrane oxygenation (ECMO) is an effective respiratory and circulatory support in patients in refractory cardiogenic shock or cardiac arrest. Peripheral ECMO sometimes requires left heart drainage; however, few reports state that pulmonary arterial (PA) venting is required during ECMO support. We present a case of a 14-year-old boy who required PA venting during ECMO support after resuscitation from near-drowning in freshwater. A biventricular assist device with an oxygenator implantation was intended on day 1; however, we were unable to proceed because of increasing of pulmonary vascular resistance from the acute lung injury.

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☆Financial support: None.

☆☆Previous presentation: A summary of this article was presented at the 35th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, Osaka, Japan, on July 3-7, 2013.

Central extracorporeal membrane oxygenation requiring pulmonary arterial venting after near-drowning☆☆☆

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