Related Experiment Videos
Extracorporeal membrane oxygenation for severe heart failure after Fontan operation
A Saito1, H Miyamura, H Kanazawa
1Department of Thoracic and Cardiovascular Surgery, Niigata University School of Medicine, Japan.
The Annals of Thoracic Surgery
|January 1, 1993
Abstract:
A 10-year-old boy with tricuspid atresia and Glenn anastomosis underwent a modified Fontan operation. After the operation, the pressure in the inferior vena cava increased, leading to oliguria and ascites. After the creation of continuity between the superior vena cava and the inferior vena cava to reduce the pressure gradient, there remained an elevated right atrial pressure. Six days of extracorporeal membrane oxygenation effectively stabilized his hemodynamics and organ function and allowed an excellent outcome.