Successful venoarterial extracorporeal membrane oxygenation for postoperative septic shock in a child with liver transplantation: A case report

Michiko Abe; Kentaro Ide; Nao Nishimura; Satoshi Nakagawa; Akinari Fukuda; Seisuke Sakamoto; Mureo Kasahara

doi:10.1111/petr.13063

Successful venoarterial extracorporeal membrane oxygenation for postoperative septic shock in a child with liver transplantation: A case report

Pediatr Transplant. 2017 Dec;21(8). doi: 10.1111/petr.13063. Epub 2017 Sep 12.

Authors

Michiko Abe¹, Kentaro Ide¹, Nao Nishimura¹, Satoshi Nakagawa¹, Akinari Fukuda², Seisuke Sakamoto², Mureo Kasahara²

Affiliations

¹ Critical Care Medicine, National Center for Child Health and Development, Tokyo, Japan.
² Organ Transplantation Center, National Center for Child Health and Development, Tokyo, Japan.

PMID: 28901029
DOI: 10.1111/petr.13063

Abstract

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.

Keywords: cardiomyopathy; child; extracorporeal membrane oxygenation; pediatric liver transplantation; sepsis.

Publication types

Case Reports

MeSH terms

Child, Preschool
Extracorporeal Membrane Oxygenation / methods*
Female
Humans
Liver Transplantation*
Postoperative Complications / therapy*
Shock, Septic / etiology
Shock, Septic / therapy*