ECMO support after arterial switch operation: A case report series from a single institution
Keywords:
Extracorporeal membrane oxygenator (ECMO), arterial switch operation (ASO), transposition of the great arteries (TGA) and cardiopulmonaryAbstract
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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