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Extracorporeal membrane oxygenation as a bridge to surgical treatment of flail tricuspid valve in a neonate

Published online by Cambridge University Press:  18 November 2005

Cammon B. Arrington ,
Peter C. Kouretas  and
Christopher R. Mart
Cammon B. Arrington
Affiliation:
Department of Pediatric Cardiology/Cardiac Surgery, University of Utah, Salt Lake City, Utah, United States of America
Peter C. Kouretas
Affiliation:
Department of Pediatric Cardiology/Cardiac Surgery, University of Utah, Salt Lake City, Utah, United States of America
Christopher R. Mart
Affiliation:
Department of Pediatric Cardiology/Cardiac Surgery, University of Utah, Salt Lake City, Utah, United States of America
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Abstract

A term infant rapidly developed profound cyanosis and metabolic acidosis shortly after an uncomplicated vaginal delivery. Echocardiography identified a flail antero-superior leaflet of the tricuspid valve, which was producing severe tricuspid insufficiency. The clinical state deteriorated despite maximal medical management, and the patient was placed on venoarterial extracorporeal membrane oxygenation. Within twenty-four hours, the metabolic acidosis corrected, inotropic support was discontinued, and the patient was weaned to minimal ventilator settings. Successful repair of the tricuspid valve was performed two days later.

Keywords

Atrioventricular valveanterior papillary muscleextracorporeal membrane oxygenationcongenital heart disease
Type
Brief Report
Information
Cardiology in the Young , Volume 15 , Issue 6 , December 2005 , pp. 660 - 662
Copyright
© 2005 Cambridge University Press

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