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Support with extracorporeal membrane oxygenation for over 1 year duration as a bridge to cardiac transplantation: a case report and review of the literature

Part of: Surgery

Published online by Cambridge University Press:  20 September 2021

Seth C. Shanefield ,
Daniel Knewitz ,
Joseph Philip ,
F. Jay Fricker ,
Kevin Sullivan ,
Circe Laucerica ,
Jeffrey P. Jacobs Open the ORCID record for Jeffrey P. Jacobs [Opens in a new window] ,
Giles J. Peek Open the ORCID record for Giles J. Peek [Opens in a new window]  and
Mark S. Bleiweis
Seth C. Shanefield
Affiliation:
University of Florida College of Medicine, Gainesville, FL, USA
Daniel Knewitz
Affiliation:
University of Florida College of Medicine, Gainesville, FL, USA
Joseph Philip
Affiliation:
Congenital Heart Center, University of Florida College of Medicine, Gainesville, FL, USA
F. Jay Fricker
Affiliation:
Congenital Heart Center, University of Florida College of Medicine, Gainesville, FL, USA
Kevin Sullivan
Affiliation:
Congenital Heart Center, University of Florida College of Medicine, Gainesville, FL, USA
Circe Laucerica
Affiliation:
Congenital Heart Center, University of Florida College of Medicine, Gainesville, FL, USA
Jeffrey P. Jacobs
Affiliation:
Congenital Heart Center, University of Florida College of Medicine, Gainesville, FL, USA
Giles J. Peek
Affiliation:
Congenital Heart Center, University of Florida College of Medicine, Gainesville, FL, USA
Mark S. Bleiweis*
Affiliation:
Congenital Heart Center, University of Florida College of Medicine, Gainesville, FL, USA
*
Author for correspondence: M. S. Bleiweis, MD, Congenital Heart Center, UF Health Shands Hospital, Division of Cardiovascular Surgery, Departments of Surgery and Pediatrics, University of Florida, 1600 SW Archer Road, Gainesville, FL 32608, USA. E-mail: [email protected]
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Abstract

We present the case of a 13-year-old male with a complex congenital cardiac history who was supported with extracorporeal membrane oxygenation for 394 days while awaiting cardiac transplantation. The patient underwent successful cardiac transplantation after 394 days of support with veno-arterial extracorporeal membrane oxygenation and is currently alive 2 years after cardiac transplantation. We believe that this case represents the longest period of time that a patient has been supported with extracorporeal membrane oxygenation as a bridge to cardiac transplantation.

We also review the literature associated with prolonged support with extracorporeal membrane oxygenation. This case report documents many of the challenges associated with prolonged support with extracorporeal membrane oxygenation, including polymicrobial bacterial and fungal infections, as well as renal dysfunction. It is possible to successfully bridge a patient to cardiac transplantation with prolonged support with extracorporeal membrane oxygenation of over 1 year; however, multidisciplinary collaboration is critical.

Keywords

ECMOrenal failureinfectionheart transplantation
Type
Original Article
Information
Cardiology in the Young , Volume 31 , Issue 9 , September 2021 , pp. 1495 - 1497
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Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

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