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Hiroshi Kanazawa
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Ann Thorac Surg 1993;55:153-155
© 1993 The Society of Thoracic Surgeons

Articles

Extracorporeal membrane oxygenation for severe heart failure after fontan operation

Akira Saito, MD*, Haruo Miyamura, MD, Hiroshi Kanazawa, MD, Hajime Ohzeki, MD, Shoji Eguchi, MD

Department of Thoracic and Cardiovascular Surgery, Niigata University School of Medicine, Niigata, Japan

Accepted for publication March 27, 1992.

* Address reprint requests to Dr Saito, Department of Thoracic and Cardiovascular Surgery, Niigata University School of Medicine, 1-757 Asahimachi-dori, Niigata 951, Japan.

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.




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