Extracorporeal membrane oxygenation in pediatric patients

Faruk Cingöz, Harun Tatar

Gülhane Askeri Tıp Akademisi, Kalp ve Damar Cerrahisi Anabilim Dalı, Ankara

The provision of mechanical circulatory support when other forms of treatment fail has become increasingly common in the therapeutic approach of patients with cardiac disease. There are three forms of mechanical cardiac support currently available such as; extracorporeal membrane oxygenation, ventricular assist devices, and intra-aortic balloon pump. In children, however, isolated left ventricular failure is extremely rare while right ventricular failure is very common with the contribution of pulmonary hypertension and hypoxemia. Due to these physiologic and pathological differences, isolated support of the left ventricle by intra-aortic balloon pump or ventricular assist device has more limited usage in children than in adults. Providing biventricular cardiopulmonary support and being the most commonly used system, extracorporeal membrane oxygenation was evaluated with a review of the literature.

Keywords : Child; extracorporeal membrane oxygenation/instrumentation; heart-assist devices

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