A 2-week-old male newborn with a double inlet left ventricle developed a cardiac arrest following modified Blalock–Taussig anastomosis in pediatric intensive care unit. Probable causes of the arrest were hemodynamic instability and thrombosed shunt, which was later recanalized on extracorporeal membrane oxygenation therapy, which was successfully used with a pump flow lower than recommended in these patients—without the shunt clip, but without any complications.
JaggersJJForbessJMShahAS, et al. Extracorporeal membrane oxygenation for infant postcardiotomy support: significance of shunt management. Ann Thorac Surg2000; 69: 1476–1483.
2.
PolimenakosACRizzoVEl-ZeinCF, et al. Post-cardiotomy rescue extracorporeal cardiopulmonary resuscitation in neonates with single ventricle after intractable cardiac arrest: attrition after hospital discharge and predictors of outcome. Pediatr Cardiol2017; 38: 314–323.
3.
AlsoufiBAwanAManlhiotC, et al. Does single ventricle physiology affect survival of children requiring extracorporeal membrane oxygenation support following cardiac surgery?World J Pediatr Congenit Heart Surg2014; 5: 7–15.
4.
SherwinEDGauvreauKScheurerMA, et al. Extracorporeal membrane oxygenation after stage 1 palliation for hypoplastic left heart syndrome. J Thorac Cardiovasc Surg2012; 144: 1337–1343.
5.
BothaPDeshpandeSRWolfM, et al. Extracorporeal membrane oxygenator support in infants with systemic-pulmonary shunts. J Thorac Cardiovasc Surg2016; 152: 912–918.
6.
ThouraniVHKirshbomPMKanterKR, et al. Venoarterial extracorporeal membrane oxygenation (VA-ECMO) in pediatric cardiac support. Ann Thorac Surg2006; 82: 138–144; discussion 144–145.
7.
RavishankarCDominguezTEKreutzerJ, et al. Extracorporeal membrane oxygenation after stage I reconstruction for hypoplastic left heart syndrome. Pediatr Crit Care Med2006; 7: 319–323.
8.
AllanCKThiagarajanRRDel NidoPJ, et al. Indication for initiation of mechanical circulatory support impacts survival of infants with shunted single-ventricle circulation supported with extracorporeal membrane oxygenation. J Thorac Cardiovasc Surg2007; 133: 660–667.
