ECMO support after arterial switch operation: A case report series from a single institution

Authors

  • Kanyarad Boonthim King Chulalongkorn Memorial Hospital, Bangkok, Thailand
  • Jule Namchaisiri King Chulalongkorn Memorial Hospital, Bangkok, Thailand
  • Vichai Benjacholamas King Chulalongkorn Memorial Hospital, Bangkok, Thailand

Keywords:

Extracorporeal membrane oxygenator (ECMO), arterial switch operation (ASO), transposition of the great arteries (TGA) and cardiopulmonary

Abstract

Extracorporeal membrane oxygenators (ECMO) after arterial switch operation (ASO) is a rescue therapy for patients who cannot wean from cardiopulmonary bypass as a bridge to recovery and/or transplantation. We, hereby, present a case report series of four patients from an institute who underwent ECMO after ASO for dextro-transposition of the great arteries (d-TGA). Two patients subsequently weaned off ECMO but only one patient survived to discharge. ASO is a complex surgery that requires an approach of a multi-disciplinary team where ECMO is a useful adjunct for recovery in difficult cases. Nevertheless, ECMO after ASO involves discriminating patient selection, prompt timing to initiate and good care team management to achieve acceptable results and survival.

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Published

2023-08-15

How to Cite

1.
Boonthim K, Namchaisiri J, Benjacholamas V. ECMO support after arterial switch operation: A case report series from a single institution. Chula Med J [Internet]. 2023 Aug. 15 [cited 2024 Oct. 12];63(3). Available from: https://he05.tci-thaijo.org/index.php/CMJ/article/view/301