Extracorporeal membrane oxygenation in congenital heart disease

Semin Perinatol. 2018 Mar;42(2):104-110. doi: 10.1053/j.semperi.2017.12.006. Epub 2018 Jan 2.

Abstract

This review article will discuss the indications for and outcomes of neonates with congenital heart disease who receive extracorporeal membrane oxygenation (ECMO) support. Most commonly, ECMO is used as a perioperative bridge to recovery or temporary support for those after cardiac arrest or near arrest in patients with congenital or acquired heart disease. What had historically been considered a contraindication to ECMO, is evolving and more of the sickest and most complicated babies are cared for on ECMO. Given that, it is imperative for aggressive survellience for long-term morbidity in survivors, particularly neurodevelopmental outcomes.

Keywords: Congenital Heart Disease; E-CPR; ECMO.

Publication types

  • Review

MeSH terms

  • Cardiopulmonary Resuscitation*
  • Extracorporeal Membrane Oxygenation*
  • Heart Arrest / mortality
  • Heart Arrest / therapy*
  • Heart Defects, Congenital / complications
  • Heart Defects, Congenital / physiopathology
  • Heart Defects, Congenital / therapy*
  • Humans
  • Infant, Newborn
  • Intensive Care, Neonatal*
  • Practice Guidelines as Topic
  • Survival Rate
  • Treatment Outcome