Clinical Research in Cardiology

, Volume 96, Issue 4, pp 204–210 | Cite as

Efficacy of extracorporeal membrane oxygenation in a congenital heart surgery program

  • Jörg S. Sachweh
  • Andreas R. Tiete
  • Alexandra Fuchs
  • Ulrich Römer
  • Reiner Kozlik-Feldmann
  • Bruno Reichart
  • Sabine H. Däbritz
ORIGINAL PAPER

Summary

Background

To report our experience with extracorporeal membrane oxygenation (ECMO) in a congenital heart surgery program.

Methods

Since 12/1996, 24 patients (8 newborns, 9 infants, 3 children, 4 adolescents/ adults 17–23 years), mean age 4.0±7.4 years (2 days–23 years), body weight 2.7–87 kg had ECMO as circulatory support. Indication was failure to wean from cardiopulmonary bypass in the majority of cases.

Results

Mean duration of support was 3.8±2.9 d (12 h–13 d). Fourteen patients were weaned from ECMO (9 discharged), three successfully transplanted (one after switching to a pulsatile assist device). One patient on left-ventricular support required ECMO for sudden rightventricular failure (decreased). There were six deaths on ECMO due to multiorgan failure (MOV) (3) or no myocardial recovery (3). Six patients died after weaning (3 MOV, 2 myocardial failure, 1 fungal sepsis). Overall, twelve patients (50%) were discharged and are clinically well after 3.4±2.4 years (0.8–7.2 years).

Conclusion

In our series, ECMO markedly reduces mortality in patients who would otherwise not survive either open heart surgery or myocardial failure of any origin and was not associated with discernible morbidity in the midterm.

Key words

Extracorporeal membrane oxygenation extracorporeal life support congenital heart surgery myocardial failure ventricular assist device 

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Copyright information

© Steinkopff-Verlag 2007

Authors and Affiliations

  • Jörg S. Sachweh
    • 1
  • Andreas R. Tiete
    • 1
  • Alexandra Fuchs
    • 2
  • Ulrich Römer
    • 2
  • Reiner Kozlik-Feldmann
    • 2
  • Bruno Reichart
    • 1
  • Sabine H. Däbritz
    • 1
  1. 1.Pediatric Cardiac SurgeryUniversity HospitalAachenGermany
  2. 2.Department of Cardiac Surgery and Department of Pediatric CardiologyLudwig-Maximilians University, Klinikum GroßhadernMünchenGermany

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