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The Annals of Thoracic Surgery, Vol 55, 153-155, Copyright © 1993 by The Society of Thoracic Surgeons
A Saito, H Miyamura, H Kanazawa, H Ohzeki and S Eguchi
A 10-year-old boy with tricuspid atresia and Glenn anastomosis underwent a
modified Fontan operation. After the operation, the pressure in the
inferior vena cava increased, leading to oliguria and ascites. After the
creation of continuity between the superior vena cava and the inferior vena
cava to reduce the pressure gradient, there remained an elevated right
atrial pressure. Six days of extracorporeal membrane oxygenation
effectively stabilized his hemodynamics and organ function and allowed an
excellent outcome.
ARTICLES
Extracorporeal membrane oxygenation for severe heart failure after Fontan operation
Department of Thoracic and Cardiovascular Surgery, Niigata University School of Medicine, Japan.
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K. L. Booth, S. J. Roth, R. R. Thiagarajan, M. C. Almodovar, P. J. del Nido, and P. C. Laussen Extracorporeal membrane oxygenation support of the Fontan and bidirectional Glenn circulations Ann. Thorac. Surg., April 1, 2004; 77(4): 1341 - 1348. [Abstract] [Full Text] [PDF] |
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