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- Title
Neonatal peri-procedural extracorporeal membrane oxygenation in the management of tracheo-esophageal fistula/esophageal atresia and left pulmonary agenesis.
- Authors
Hartman, Heather A; Spencer, Brianna; Hirschl, Ronald B; Elliot, Anila B; Thirumoorthi, Arul S
- Abstract
Congenital tracheo-esophageal fistula/esophageal atresia (TEF/EA) with concomitant pulmonary agenesis is exceedingly rare and has a high mortality rate. While there are several reported cases of successful repair, all but one patient had right-sided pulmonary agenesis. In the case of left-sided pulmonary agenesis, the patient had incomplete agenesis and underwent repair through a left thoracotomy. We present the first successful repair of TEF/EA with complete left-sided pulmonary agenesis. This patient also underwent elective pre-operative veno-venous extracorporeal membrane oxygenation (ECMO) and subsequent repair of the TEF/EA. We discuss the management, anesthesia risks, and role of periprocedural ECMO in pediatric patients who are high anesthetic risk.
- Subjects
LUNG abnormalities; CESAREAN section; EXTRACORPOREAL membrane oxygenation; THORACOTOMY; RARE diseases; MAGNETIC resonance imaging; DISCHARGE planning; ESOPHAGEAL atresia; LARYNGOSCOPY; VOCAL cord diseases; MULTIPLE human abnormalities; TRACHEAL fistula; DEGLUTITION disorders; PARALYSIS
- Publication
Perfusion, 2024, Vol 39, Issue 5, p1020
- ISSN
0267-6591
- Publication type
Article
- DOI
10.1177/02676591231176241