Mechanical Circulatory Support for Low Cardiac Output Syndrome Due to Tachyarrhythmia after Cardiac Surgery in a Newborn

  • Theodor Tirilomis
  • K. Oguz Coskun
  • Heike Schneider
  • Wolfgang Ruschewski

Abstract

The case of a newborn with malignant tachyarrhythmia after heart surgery treated with cardiac extracorporeal membrane oxygenation (ECMO) is presented. After emergency surgery for a large right atrial tumor, the newborn developed supraventricular and ventricular arrhythmias. Despite antiarrhythmic medication, tachyarrhythmia remained, and low cardiac output syndrome developed progressively. Mechanical circulatory support was started, and soon thereafter sinus rhythm recovered. Four days after implantation, mechanical circulatory support was terminated, and the ECMO device was explanted. At discharge from the hospital, the baby had had stable sinus rhythm without any antiarrhythmic medication.

References

Chaturvedi RR, Macrae D, Brown KL et al. 2004. Cardiac ECMO for biventricular hearts after paediatric open heart surgery. Heart 90:545-51.\nSachweh JS, Tiete AR, Fuchs A, et al. 2007. Efficacy of extracorporeal membrane oxygenation in a congenital heart surgery program. Clin Res Cardiol 96:204-10.\nÜndar A, McKenzie ED, McGarry MC, et al. 2004. Outcomes of congenital heart surgery patients after extracorporeal life support at Texas Children's Hospital. Artif Organs 28:963-6.\n
Published
2009-11-05
How to Cite
Tirilomis, T., Coskun, K., Schneider, H., & Ruschewski, W. (2009). Mechanical Circulatory Support for Low Cardiac Output Syndrome Due to Tachyarrhythmia after Cardiac Surgery in a Newborn. The Heart Surgery Forum, 12(5), E308-E309. https://doi.org/10.1532/HSF98.20091058
Section
Articles

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