scholarly journals Covid 19 and ECMO support after neonatal congenital heart surgery: a case report

2021 ◽  
Author(s):  
Murat Çiçek ◽  
Mehmet Onalan ◽  
Nurgul Yurtseven
Keyword(s):  
Respiratory Failure ◽  
Congenital Heart ◽  
Heart Surgery ◽  
Rescue Therapy ◽  
Systemic Disease ◽  
Congenital Heart Surgery ◽  
Early Postoperative Period ◽  
Ecmo Support ◽  
High Risk Population ◽  
Risk Of Death

Coronavirus disease (COVID-2019) causes respiratory and systemic disease, has led to a sudden epidemic that affects people of all ages. The presence of cardiovascular comorbidities is associated with a higher risk of death. Therefore, patients with congenital heart disease represent a high risk population. When respiratory failure develops and mechanical ventilation is not sufficient due to Covid 19, extracorporeal membrane oxygenation (ECMO) may use as a form of rescue therapy. In this article, we present a newborn who required ECMO support for acute respiratory failure in the early postoperative period due to coronavirus 2 (SARS-CoV-2) after the aortic arch repair and ventricular septal defect closure operation. To the best of our knowledge, this patient was the first neonate case of SARS-CoV-2 infection after congenital heart surgery and was the youngest patient to receive ECMO support.

scholarly journals COVID-19 and ECMO support after neonatal congenital heart surgery: a case report

2021 ◽  
pp. 1-10
Author(s):  
Murat Cicek ◽  
Mehmet Akif Onalan ◽  
Nurgul Yurtseven
Keyword(s):  
Congenital Heart ◽  
Heart Surgery ◽  
Septal Defect ◽  
Systemic Disease ◽  
Congenital Heart Surgery ◽  
Early Postoperative Period ◽  
Ecmo Support ◽  
High Risk Population ◽  
Ventricular Septal Defect Closure ◽  
Aortic Arch Repair

Abstract Coronavirus disease 2019 (COVID-19) causes respiratory and systemic disease and has led to a sudden epidemic affecting people of all ages. Patients with congenital heart disease represent a high-risk population. In this article, we present a newborn who required extracorporeal membrane oxygenation (ECMO) support for acute respiratory failure in the early postoperative period due to exposure to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) after aortic arch repair and ventricular septal defect closure. To the best of our knowledge, this patient represents the first neonatal case of SARS-CoV-2 infection after congenital heart surgery and is the youngest patient to need ECMO support.

Catheterization Performed in the Early Postoperative Period After Congenital Heart Surgery in Children

2019 ◽  
Vol 40 (4) ◽  
pp. 827-833
Author(s):  
Ana María Eraso-Díaz del Castillo ◽  
María Clara Escobar-Díaz ◽  
Rafael Lince Varela ◽  
Luis Horacio Díaz Medina ◽  
Eliana Mabel Cañas Arenas
Keyword(s):  
Postoperative Period ◽  
Congenital Heart ◽  
Heart Surgery ◽  
Congenital Heart Surgery ◽  
Early Postoperative Period

Risk of Death for Medicaid Recipients Undergoing Congenital Heart Surgery

2003 ◽  
Vol 24 (2) ◽  
pp. 97-102 ◽  
Author(s):  
J.A. DeMone ◽  
P.C. Gonzalez ◽  
K. Gauvreau ◽  
G.E. Piercey ◽  
K.J. Jenkins
Keyword(s):  
Congenital Heart ◽  
Heart Surgery ◽  
Congenital Heart Surgery ◽  
Risk Of Death

Ninety-two days of extracorporeal membrane oxygenation support following congenital heart surgery

Perfusion ◽  
2017 ◽  
Vol 32 (6) ◽  
pp. 514-516 ◽  
Author(s):  
Mehmet Salih Bilal ◽  
Mustafa Kemal Avsar ◽  
Özgür Yıldırım ◽  
İbrahim Özgür Önsel ◽  
Cenap Zeybek ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Extracorporeal Membrane Oxygenation ◽  
Congenital Heart ◽  
Heart Surgery ◽  
Congenital Heart Surgery ◽  
Ecmo Support ◽  
Ventricular Septal Defects ◽  
Septal Defects ◽  
Ecmo Therapy

We report on a case involving a 10-month-old infant who received prolonged ECMO therapy following cardiac surgery for multiple ventricular septal defects (VSD). The patient was successfully weaned from 92 days of ECMO support without any long-term deficits.

scholarly journals Cardiac catheterization addressing early post-operative complications in congenital heart surgery—a single-center experience

2020 ◽  
Vol 72 (1) ◽  
Author(s):  
Saud Bahaidarah ◽  
Jameel Al-Ata ◽  
Gaser Abdelmohsen ◽  
Naif Alkhushi ◽  
Mohamed Abdelsalam ◽  
...  
Keyword(s):  
Success Rate ◽  
Cardiac Catheterization ◽  
Congenital Heart ◽  
Interventional Procedures ◽  
Heart Surgery ◽  
Congenital Heart Surgery ◽  
Ecmo Support ◽  
Single Center Experience ◽  
Post Operative Period ◽  
Inotropic Score

Abstract Background Cardiac catheterization after congenital heart surgery may play an important role in the diagnosis and management of patients with a complicated or unusual post-operative course. The main objective of this study was to evaluate the safety, efficacy, and outcome of cardiac catheterization performed in the early post-operative period following congenital heart surgery. All patients who underwent cardiac catheterization after congenital heart surgery during the same admission of cardiac surgery from November 2015 to May 2018 were included in the study. Results Thirty procedures were performed for 27 patients (20 interventional and 10 diagnostic). The median age of the patients was 15 months (15 days to 20 years), median weight was 8.2 kg (3.4 to 53 kg), and median time from surgery was 3 days (0–32 days). Eleven procedures were performed for 11 patients on extracorporeal membrane oxygenation (ECMO) support. The main indications for catheterization included the inability to wean from ECMO (10 procedures) and cyanosis (10 procedures). Interventional procedures included angioplasty using stents (10 procedures, success rate of 90%), angioplasty using only balloons (2 procedures, success rate of 50%), and occlusion for residual shunts (8 procedures, success rate of 100%). No mortality was recorded during any procedure. Vasoactive–inotropic score had significantly decreased 48 h after catheterization when compared to pre-catheterization scores (p = 0.0001). Moreover, 72% of patients connected to ECMO support were successfully weaned from ECMO after catheterization. Procedural complications were recorded in 3 interventional procedures. Survival to hospital discharge was 55.5% and overall survival was 52%. Patients on ECMO support had a higher mortality than other patients. Conclusion Cardiac catheterization can be performed safely in the early post-operative period, and it could improve the outcome of the patient (depending on the complexity of the cardiac lesions involved).

scholarly journals Impact of Cardiac Catheterization on the Outcome of Extracorporeal Membrane Oxygenation (ECMO) After Congenital Cardiac Surgery - Two Centers Experience

2021 ◽  
Author(s):  
Gaser Abdelmohsen ◽  
Jameel Al-Ata ◽  
Naif Alkhushi ◽  
Saud Bahaidarah ◽  
Hysam Baho ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Extracorporeal Membrane Oxygenation ◽  
Cardiac Catheterization ◽  
Congenital Heart ◽  
Heart Surgery ◽  
Congenital Heart Surgery ◽  
Ecmo Support ◽  
Congenital Cardiac Surgery ◽  
Membrane Oxygenation ◽  
Successful Weaning

Abstract Background: Cardiac catheterization performed for patients supported by extracorporeal membrane oxygenation (ECMO) after congenital heart surgery may affect their clinical outcome, yet its effect in this group of patients is not adequately studied. The objective of this study was the evaluation of the impact of cardiac catheterization on successful weaning from ECMO support and survival after congenital heart surgery and determining predictors that influence successful weaning. Methods : This is a retrospective cohort study conducted on paediatric patients underwent cardiac catheterization while on ECMO support after congenital heart surgery in two cardiac centres from November 2012 till February 2020. Predictors of successful weaning from ECMO support were studied using univariable and multivariable logistic regression analysis. Results: Out of 141 patients received ECMO support after congenital cardiac surgery,60 patients underwent 60 cardiac catheterizations (31 diagnostic and 29 interventional). The median age was 6.5 months (range 4 days -20 years), median weight was 5 kg (range 2-53 kg). Thirty-four patients (56.7%) underwent successful decannulation from ECMO support and 22patients (36.3%) survived to hospital discharge. Predictors of successful weaning from ECMO support and survival were shorter duration on ECMO support, absence of bleeding tendency, early cardiac catheterization, and biventricular physiology. Conclusion: Cardiac catheterization is feasible with acceptable risks for patients receiving ECMO after congenital heart surgery. The shorter duration on ECMO support may have a significant influence on successful weaning from ECMO and survival after congenital heart surgery. Early cardiac catheterization could also influence the successful weaning from ECMO.

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