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European Journal of Cardio-Thoracic Surgery, Vol 7, 390-391, Copyright © 1993 by European Association for Cardio-thoracic Surgery

ARTICLES

Salvage of postoperative pulmonary hypertensive crisis using ECMO via cervical cannulation in a case of truncus arteriosus

GA Pearson, A Sosnowski, KC Chan and RK Firmin
Regional Cardiothoracic Unit, Groby Road Hospital, Leicester, UK.

The survival of patients with truncus arteriosus beyond one year of age is rare without surgical treatment [3 . Early surgery may be associated with a mortality but is still preferable, as the risks of established pulmonary hypertensive disease complicate delayed surgery [2]. We report the successful salvage of a pulmonary hypertensive crisis 24 h after corrective surgery in a late presenting patient using extracorporeal membrane oxygenation (ECMO) via cervical cannulation. Post-operative pulmonary hypertensive crises may present a difficult management problem. Extracorporeal membrane oxygenation is therapeutic in these circumstances in addition to providing life support. Cervical cannulation remains the method of choice in the postoperative cardiac patient.

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