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Successful venoarterial extracorporeal membrane oxygenation for postoperative septic shock in a child with liver transplantation: A case report
Author(s) -
Abe Michiko,
Ide Kentaro,
Nishimura Nao,
Nakagawa Satoshi,
Fukuda Akinari,
Sakamoto Seisuke,
Kasahara Mureo
Publication year - 2017
Publication title -
pediatric transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 69
eISSN - 1399-3046
pISSN - 1397-3142
DOI - 10.1111/petr.13063
Subject(s) - extracorporeal membrane oxygenation , medicine , septic shock , liver transplantation , shock (circulatory) , oxygenation , transplantation , extracorporeal , intensive care medicine , anesthesia , sepsis , surgery
Refractory septic shock after LT is a life‐threatening complication. VA ECMO is used to treat refractory cardiorespiratory failure. We present herein the case of a 5‐year‐old girl with post‐Kasai biliary atresia, who underwent a living donor LT and suffered refractory septic shock. VA ECMO was indicated due to progressive cardiac deterioration. After full recovery of her EF, she has been steadily improving and has shown good liver function and no neurological sequelae. This is the first report of successful VA ECMO in a post‐ LT patient with refractory septic shock.