Treating Congenital Diaphragmatic Hernia with ECMO: First Successful Case in Romania
We present the first successful case of extracorporeal membrane oxygenation (ECMO) at „M.S. Curie” Emergency Clinical Hospital for Children, Newborn Intensive Care Unit: a term neonate with cardiorespiratory failure secondary to left sided congenital diaphragmatic hernia. The patient was placed on v...
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Bucharest College of Physicians
2021-09-01
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| Series: | Modern Medicine |
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| Online Access: | https://medicinamoderna.ro/wp-content/uploads/2021/09/Treating-Congenital-Diaphragmatic-Hernia-with-ECMO-First-Successful-Case-in-Romania.pdf |
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| author | Alina Elena GAIDUCHEVICI Carmina GEORGESCU Carmen Mariana HERISEANU Ana Mihaela BIZUBAC Cristina FILIP Irina MARGARINT Ion CERNEA Catalin Gabriel CIRSTOVEANU |
| author_facet | Alina Elena GAIDUCHEVICI Carmina GEORGESCU Carmen Mariana HERISEANU Ana Mihaela BIZUBAC Cristina FILIP Irina MARGARINT Ion CERNEA Catalin Gabriel CIRSTOVEANU |
| author_sort | Alina Elena GAIDUCHEVICI |
| collection | DOAJ |
| description | We present the first successful case of extracorporeal membrane oxygenation (ECMO) at „M.S. Curie” Emergency Clinical Hospital for Children, Newborn Intensive Care Unit: a term neonate with cardiorespiratory failure secondary to left sided congenital diaphragmatic hernia. The patient was placed on veno-venous ECMO at three days of life; however, on the fourth day, due to unstable right ventricular function, conversion to veno-arterial ECMO was mandatory. At one week of life, the patient was operated on-site for diaphragmatic hernia without ECMO support and then reintroduced on ECMO immediately after the surgical procedure, being on ECMO support for a total of 8 days. Antithrombotic treatment was administered for significant occlusion of the right common carotid artery and right internal jugular vein (complication of the cannulation for ECMO) and also long term treatment for Persistent Pulmonary Hypertension was needed. The patient was discharged at the age of four months with moderate neurodevelopmental delay. The literature review indicates that neonatal ECMO procedure in Romania is still in its early stages. Despite this state, our current case proves that ECMO can be successfully performed with increased chances of survival for neonates with severe prognosis after failure of conventional therapy. |
| format | Article |
| id | doaj-art-21c2689b221d4c8cb7e928d9abe91ffb |
| institution | DOAJ |
| issn | 1223-0472 2360-2473 |
| language | English |
| publishDate | 2021-09-01 |
| publisher | Bucharest College of Physicians |
| record_format | Article |
| series | Modern Medicine |
| spelling | doaj-art-21c2689b221d4c8cb7e928d9abe91ffb2025-08-20T03:17:58ZengBucharest College of PhysiciansModern Medicine1223-04722360-24732021-09-01283339347https://doi.org/10.31689/rmm.2021.28.3.339Treating Congenital Diaphragmatic Hernia with ECMO: First Successful Case in RomaniaAlina Elena GAIDUCHEVICI0Carmina GEORGESCU1Carmen Mariana HERISEANU2Ana Mihaela BIZUBAC3Cristina FILIP4Irina MARGARINT5 Ion CERNEA6Catalin Gabriel CIRSTOVEANU7Neonatal Intensive Care Unit, „M.S. Curie” Emergency Clinical Hospital for Children, Bucharest, RomaniaNeonatal Intensive Care Unit, „M.S. Curie” Emergency Clinical Hospital for Children, Bucharest, RomaniaNeonatal Intensive Care Unit, „M.S. Curie” Emergency Clinical Hospital for Children, Bucharest, RomaniaNeonatal Intensive Care Unit, „M.S. Curie” Emergency Clinical Hospital for Children, Bucharest, RomaniaDepartment of Pediatric Cardiology, „M.S. Curie” Emergency Clinical Hospital for Children, Bucharest, RomaniaDepartment of Cardiac Surgery, „M.S. Curie” Emergency Clinical Hospital for Children, Bucharest, RomaniaDepartment of Pediatric Surgery, „M.S. Curie” Emergency Clinical Hospital for Children, Bucharest, Romania„Carol Davila” University of Medicine and Pharmacy, Bucharest, RomaniaWe present the first successful case of extracorporeal membrane oxygenation (ECMO) at „M.S. Curie” Emergency Clinical Hospital for Children, Newborn Intensive Care Unit: a term neonate with cardiorespiratory failure secondary to left sided congenital diaphragmatic hernia. The patient was placed on veno-venous ECMO at three days of life; however, on the fourth day, due to unstable right ventricular function, conversion to veno-arterial ECMO was mandatory. At one week of life, the patient was operated on-site for diaphragmatic hernia without ECMO support and then reintroduced on ECMO immediately after the surgical procedure, being on ECMO support for a total of 8 days. Antithrombotic treatment was administered for significant occlusion of the right common carotid artery and right internal jugular vein (complication of the cannulation for ECMO) and also long term treatment for Persistent Pulmonary Hypertension was needed. The patient was discharged at the age of four months with moderate neurodevelopmental delay. The literature review indicates that neonatal ECMO procedure in Romania is still in its early stages. Despite this state, our current case proves that ECMO can be successfully performed with increased chances of survival for neonates with severe prognosis after failure of conventional therapy.https://medicinamoderna.ro/wp-content/uploads/2021/09/Treating-Congenital-Diaphragmatic-Hernia-with-ECMO-First-Successful-Case-in-Romania.pdfcongenital diaphragmatic herniaextracorporeal membrane oxygenationpersistent pulmonary hypertensionneonatologypediatric surgery |
| spellingShingle | Alina Elena GAIDUCHEVICI Carmina GEORGESCU Carmen Mariana HERISEANU Ana Mihaela BIZUBAC Cristina FILIP Irina MARGARINT Ion CERNEA Catalin Gabriel CIRSTOVEANU Treating Congenital Diaphragmatic Hernia with ECMO: First Successful Case in Romania Modern Medicine congenital diaphragmatic hernia extracorporeal membrane oxygenation persistent pulmonary hypertension neonatology pediatric surgery |
| title | Treating Congenital Diaphragmatic Hernia with ECMO: First Successful Case in Romania |
| title_full | Treating Congenital Diaphragmatic Hernia with ECMO: First Successful Case in Romania |
| title_fullStr | Treating Congenital Diaphragmatic Hernia with ECMO: First Successful Case in Romania |
| title_full_unstemmed | Treating Congenital Diaphragmatic Hernia with ECMO: First Successful Case in Romania |
| title_short | Treating Congenital Diaphragmatic Hernia with ECMO: First Successful Case in Romania |
| title_sort | treating congenital diaphragmatic hernia with ecmo first successful case in romania |
| topic | congenital diaphragmatic hernia extracorporeal membrane oxygenation persistent pulmonary hypertension neonatology pediatric surgery |
| url | https://medicinamoderna.ro/wp-content/uploads/2021/09/Treating-Congenital-Diaphragmatic-Hernia-with-ECMO-First-Successful-Case-in-Romania.pdf |
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