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Late Outcomes of Infants Supported by Extracorporeal Membrane Oxygenation Following the Norwood Operation

Monday, January 5, 2015

Submitted by

Joel Dunning

Source

Source Name: World Journal for Pediatric and Congenital Heart Surgery.

Source URL: http://pch.sagepub.com/content/6/1/9.abstract

Author(s)

Bahaaldin Alsoufi, Michael Wolf, Phil Botha, Brian Kogon, Courtney McCracken, Alexandra Ehrlich, Kirk Kanter, and Shriprasad Deshpande

Overall, 13.4% of single ventricle patients received ECMO support following the Norwood operation. Although there were no preoperative or operative predictors of the requirement of ECMO support following the Norwood operation, unplanned reoperation for shunt problems or technical complications was associated with an increased need for ECMO use. Although hospital death was high at 58% in patients who required
postoperative ECMO support, those who survived to hospital discharge had interstage mortality, progression through consecutive palliation stages, freedom from heart transplantation, and late survival that were comparable to those in patients who did not require ECMO following their Norwood operation.