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Ann Thorac Surg 1996;62:565-566
© 1996 The Society of Thoracic Surgeons

Case Report

Blalock-Taussig Operation With an Assist of Venovenous Extracorporeal Membrane Oxygenation

Haruo Miyamura, MD, Masa-aki Sugawara, MD, Hiroshi Watanabe, MD, Shoji Eguchi, MD

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

Accepted for publication January 31, 1996.

Three infants with congenital cyanotic heart disease encountered severe hypoxemia during a Blalock-Taussig shunt procedure using a right thoracotomy approach. Pericardiotomy was performed and venovenous extracorporeal membrane oxygenation was instituted using right atrial canulation. The shunt procedure was completed with good oxygenation and hemodynamic stability in all cases. Venovenous extracorporeal membrane oxygenation can be easily established in the right thorax, and is an effective support technique for unexpected hypoxemia encountered during systemic-to-pulmonary artery shunt operations.




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