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Pediatr Crit Care Me · May 2011
Case ReportsSurvival after extreme left atrial hypertension and pulmonary hemorrhage in an infant supported with extracorporeal membrane oxygenation for refractory atrial flutter.
- Michael J Cisco, Ritu Asija, Anne M Dubin, Stanton B Perry, Frank L Hanley, and Stephen J Roth.
- Division of Pediatric Cardiology, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA. mjc@stanford.eduBack to Top
- Pediatr Crit Care Me. 2011 May 1;12(3):e149-52.
ObjectiveWe report here the survival of an infant who developed extreme left atrial hypertension and severe pulmonary hemorrhage while supported with extracorporeal membrane oxygenation for refractory atrial flutter. The patient recovered after decompression of the left heart and catheter ablation of the atrioventricular node.SettingLucile Packard Children's Hospital (Stanford, CA).Data SourceChart review.ConclusionsRecovery of lung function is possible despite systemic-level left atrial pressure resulting in pulmonary hemorrhage and complete solidification of lung parenchyma on gross inspection. Resolution of pulmonary hemorrhage despite anticoagulation while on extracorporeal membrane oxygenation can occur after relief of left atrial hypertension.
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