Gulgun Mustafa, Slack Michael
Children National Medical Center, Division of Pediatric Cardiology, Washington, District of Columbia, USA.
Arq Bras Cardiol. 2016 Dec;107(6):600-604. doi: 10.5935/abc.20160080.
Extracorporeal membrane oxygenation (ECMO) is a well-established tool of cardiopulmonary circulatory support for cardiopulmonary failure in children and adults. It has been used as a supportive strategy during interventional procedures in neonates with congenital heart disease. Herein, we describe a neonate with hypoplastic left heart syndrome who underwent stenting of the Sano shunt and left pulmonary artery after Norwood Sano operation using intra-procedural ECMO support. The use of ECMO as a bridge to recovery might be a feasible and reasonably safe adjunctive approach in the treatment of complications in selective case of neonates having undergone the Norwood Sano procedure.
体外膜肺氧合（ECMO）是一种成熟的用于支持儿童和成人心肺循环衰竭的工具。它已被用作患有先天性心脏病的新生儿介入手术期间的一种支持策略。在此，我们描述了一名患有左心发育不全综合征的新生儿，该患儿在诺伍德-佐野手术（Norwood Sano operation）后，使用术中体外膜肺氧合支持，接受了佐野分流（Sano shunt）和左肺动脉支架置入术。在选择性的接受诺伍德-佐野手术的新生儿病例中，将体外膜肺氧合用作恢复的桥梁可能是治疗并发症的一种可行且相对安全的辅助方法。
