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Excessive Bleeding on Extracorporeal Membrane Oxygenation After Surgical Repair of Type I Truncus Arteriosus: A Case Report
Author(s) -
Berger Angelika,
Wollenek Gregor,
Hermon Michael,
Burda Gudrun
Publication year - 1999
Publication title -
artificial organs
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.684
H-Index - 76
eISSN - 1525-1594
pISSN - 0160-564X
DOI - 10.1046/j.1525-1594.1999.06460.x
Subject(s) - medicine , extracorporeal membrane oxygenation , truncus arteriosus , extracorporeal circulation , surgery , complication , anesthesia , cardiology , heart disease , tetralogy of fallot
Severe bleeding remains the most common complication of extracorporeal membrane oxygenation (ECMO) following surgical repair of congenital heart defects. We present a case of excessive hemorrhage within the first hours on ECMO support after repair of a type I truncus arteriosus. Bleeding control was achieved by surgical repair following failure of conventional interventions to control hemorrhage despite normalization of laboratory coagulation parameters. Aspects associated with bleeding and bleeding control during extracorporeal circulation after cardiac surgery are discussed.