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European Journal of Cardio-Thoracic Surgery, Vol 11, 585-587, Copyright © 1997 by European Association for Cardio-thoracic Surgery

ARTICLES

Myocardial recovery through ECMO after repair of total anomalous pulmonary venous connection: the importance of left heart unloading

K Ishino, V Alexi-Meskishvili and R Hetzer
German Heart Institute Berlin, Germany.

A 7-day-old boy who had been placed on extracorporeal membrane oxygenation on his second day of life developed biventricular failure after undergoing surgical repair of a supracardiac variant of total anomalous pulmonary venous connection. Extracorporeal membrane oxygenation was again necessary for postoperative cardiopulmonary support. However, severe left ventricular failure made it imperative to leave the vertical vein open during support in order to decrease pressure on the left ventricle. The patient was successfully weaned from extracorporeal membrane oxygenation on day 8 after surgery and discharged from the hospital on day 23.

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