Butler T J, Yoder B A, Seib P, Lally K P, Smith V C
Section of Neonatology, Wilford Hall USAF Medical Center, Lackland Air Force Base, Texas 78236-5300.
Pediatr Cardiol. 1994 Jan-Feb;15(1):38-40. doi: 10.1007/BF00797005.
Extracorporeal membrane oxygenation (ECMO) has been used in neonates for a variety of disease states including congenital diaphragmatic hernia, meconium aspiration syndrome, sepsis, and postoperative cardiac compromise. To our knowledge, ECMO has not been employed prior to cardiac catheterization in critical aortic stenosis (CAS). We report a neonatal case of CAS where ECMO was used early as a form of left ventricular assist to achieve adequate systemic perfusion and oxygenation and reduce myocardial ischemia. The patient was maintained on ECMO during subsequent attempts at cardiac catheterization, balloon valvuloplasty, and operative valvotomy.
体外膜肺氧合（ECMO）已用于患有多种疾病状态的新生儿，包括先天性膈疝、胎粪吸入综合征、败血症和术后心脏功能不全。据我们所知，在严重主动脉瓣狭窄（CAS）的心脏导管插入术前尚未使用过ECMO。我们报告一例CAS新生儿病例，其中早期使用ECMO作为左心室辅助的一种形式，以实现足够的全身灌注和氧合，并减少心肌缺血。在随后的心脏导管插入术、球囊瓣膜成形术和手术瓣膜切开术尝试过程中，患者一直使用ECMO维持治疗。
