The Effect of Extracorporeal Membrane Oxygenation in the Management of Refractory Ventricular Tachycardia Developed after Fontan Procedure (Case Report)
Aim: to evaluate the effect of extracorporeal membrane oxygenation (ECMO) as a life support in the treatment of a patient with refractory ventricular tachycardia developed after Fontan procedure. Patient and treatment. A 4-year-old child developed refractory ventricular tachycardia (up to 250 bpm) a...
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Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia
2024-10-01
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| Series: | Общая реаниматология |
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| Online Access: | https://www.reanimatology.com/rmt/article/view/2347 |
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| author | Olga S. Anikina Ilya A. Soynov Ilya A. Velyukhanov Olga A. Suzdalova Yuri Yu. Kulyabin Stanislav A. Sergeev Alexey N. Arkhipov Igor A. Kornilov |
| author_facet | Olga S. Anikina Ilya A. Soynov Ilya A. Velyukhanov Olga A. Suzdalova Yuri Yu. Kulyabin Stanislav A. Sergeev Alexey N. Arkhipov Igor A. Kornilov |
| author_sort | Olga S. Anikina |
| collection | DOAJ |
| description | Aim: to evaluate the effect of extracorporeal membrane oxygenation (ECMO) as a life support in the treatment of a patient with refractory ventricular tachycardia developed after Fontan procedure. Patient and treatment. A 4-year-old child developed refractory ventricular tachycardia (up to 250 bpm) and hemodynamic depression 18 hours after the Fontan procedure. After the failure of cardiopulmonary resuscitation and antiarrhythmic therapy, resternotomy with central venoarterial (VA) ECMO support was performed, followed by diagnostic angiocardiography. Contrast-enhanced cavopulmonary angiography revealed stenosis of the left pulmonary artery, which was treated with balloon angioplasty and stenting.Results. Ventricular tachycardia resolved and sinus rhythm was restored within 24 hours after left pulmonary artery stenting, supported by continuous ECMO and antiarrhythmic therapy. On day 3, transthoracic echocardiography showed good single ventricle contractility after a trial weaning from ECMO. As a result, the ECMO support was removed and the sternum sutured. The patient was discharged from the hospital on day 47 in stable condition.Conclusion. The prompt initiation of VA ECMO support in a 4-year old patient with refractory ventricular tachycardia post-Fontan procedure along with the complex management of post-procedural residual tachycardia using a combination of antiarrhythmic agents helped restoring sinus rhythm and could contribute to preventing neurological complications. |
| format | Article |
| id | doaj-art-710cc1407bdd4de3a497bc6cc196ba8d |
| institution | DOAJ |
| issn | 1813-9779 2411-7110 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia |
| record_format | Article |
| series | Общая реаниматология |
| spelling | doaj-art-710cc1407bdd4de3a497bc6cc196ba8d2025-08-20T03:18:33ZengFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, RussiaОбщая реаниматология1813-97792411-71102024-10-01205778010.15360/1813-9779-2024-5-77-801965The Effect of Extracorporeal Membrane Oxygenation in the Management of Refractory Ventricular Tachycardia Developed after Fontan Procedure (Case Report)Olga S. Anikina0Ilya A. Soynov1Ilya A. Velyukhanov2Olga A. Suzdalova3Yuri Yu. Kulyabin4Stanislav A. Sergeev5Alexey N. Arkhipov6Igor A. Kornilov7E. N. Meshalkin National Medical Research Center, Ministry of Health of RussiaE. N. Meshalkin National Medical Research Center, Ministry of Health of RussiaE. N. Meshalkin National Medical Research Center, Ministry of Health of RussiaE. N. Meshalkin National Medical Research Center, Ministry of Health of RussiaE. N. Meshalkin National Medical Research Center, Ministry of Health of RussiaE. N. Meshalkin National Medical Research Center, Ministry of Health of RussiaE. N. Meshalkin National Medical Research Center, Ministry of Health of RussiaMilton S. Hershey Medical Center, Penn State University College of MedicineAim: to evaluate the effect of extracorporeal membrane oxygenation (ECMO) as a life support in the treatment of a patient with refractory ventricular tachycardia developed after Fontan procedure. Patient and treatment. A 4-year-old child developed refractory ventricular tachycardia (up to 250 bpm) and hemodynamic depression 18 hours after the Fontan procedure. After the failure of cardiopulmonary resuscitation and antiarrhythmic therapy, resternotomy with central venoarterial (VA) ECMO support was performed, followed by diagnostic angiocardiography. Contrast-enhanced cavopulmonary angiography revealed stenosis of the left pulmonary artery, which was treated with balloon angioplasty and stenting.Results. Ventricular tachycardia resolved and sinus rhythm was restored within 24 hours after left pulmonary artery stenting, supported by continuous ECMO and antiarrhythmic therapy. On day 3, transthoracic echocardiography showed good single ventricle contractility after a trial weaning from ECMO. As a result, the ECMO support was removed and the sternum sutured. The patient was discharged from the hospital on day 47 in stable condition.Conclusion. The prompt initiation of VA ECMO support in a 4-year old patient with refractory ventricular tachycardia post-Fontan procedure along with the complex management of post-procedural residual tachycardia using a combination of antiarrhythmic agents helped restoring sinus rhythm and could contribute to preventing neurological complications.https://www.reanimatology.com/rmt/article/view/2347ecmorefractory ventricular tachycardia in childrenfontan procedure |
| spellingShingle | Olga S. Anikina Ilya A. Soynov Ilya A. Velyukhanov Olga A. Suzdalova Yuri Yu. Kulyabin Stanislav A. Sergeev Alexey N. Arkhipov Igor A. Kornilov The Effect of Extracorporeal Membrane Oxygenation in the Management of Refractory Ventricular Tachycardia Developed after Fontan Procedure (Case Report) Общая реаниматология ecmo refractory ventricular tachycardia in children fontan procedure |
| title | The Effect of Extracorporeal Membrane Oxygenation in the Management of Refractory Ventricular Tachycardia Developed after Fontan Procedure (Case Report) |
| title_full | The Effect of Extracorporeal Membrane Oxygenation in the Management of Refractory Ventricular Tachycardia Developed after Fontan Procedure (Case Report) |
| title_fullStr | The Effect of Extracorporeal Membrane Oxygenation in the Management of Refractory Ventricular Tachycardia Developed after Fontan Procedure (Case Report) |
| title_full_unstemmed | The Effect of Extracorporeal Membrane Oxygenation in the Management of Refractory Ventricular Tachycardia Developed after Fontan Procedure (Case Report) |
| title_short | The Effect of Extracorporeal Membrane Oxygenation in the Management of Refractory Ventricular Tachycardia Developed after Fontan Procedure (Case Report) |
| title_sort | effect of extracorporeal membrane oxygenation in the management of refractory ventricular tachycardia developed after fontan procedure case report |
| topic | ecmo refractory ventricular tachycardia in children fontan procedure |
| url | https://www.reanimatology.com/rmt/article/view/2347 |
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