Survival after extreme left atrial hypertension and pulmonary hemorrhage in an infant supported with extracorporeal membrane oxygenation for refractory atrial flutter.
| Autor: | Cisco MJ; Division of Pediatric Cardiology, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA. mjc@stanford.eduBack to Top, Asija R, Dubin AM, Perry SB, Hanley FL, Roth SJ |
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| Jazyk: | angličtina |
| Zdroj: | Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies [Pediatr Crit Care Med] 2011 May; Vol. 12 (3), pp. e149-52. |
| DOI: | 10.1097/PCC.0b013e3181e8b3e5 |
| Abstrakt: | Objective: We report here the survival of an infant who developed extreme left atrial hypertension and severe pulmonary hemorrhage while supported with extracorporeal membrane oxygenation for refractory atrial flutter. The patient recovered after decompression of the left heart and catheter ablation of the atrioventricular node. Setting: Lucile Packard Children's Hospital (Stanford, CA). Data Source: Chart review. Conclusions: Recovery of lung function is possible despite systemic-level left atrial pressure resulting in pulmonary hemorrhage and complete solidification of lung parenchyma on gross inspection. Resolution of pulmonary hemorrhage despite anticoagulation while on extracorporeal membrane oxygenation can occur after relief of left atrial hypertension. |
| Databáze: | MEDLINE |
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