Author/Authors :
Kim, Woojung Departments of Thoracic and Cardiovascular Surgery - Seoul National University Children’s Hospital - Seoul National University College of Medicine - Seoul, Korea , Kwon, Hye Won Departments of Pediatrics - Seoul National University Children’s Hospital - Seoul National University College of Medicine - Seoul, Korea , Min, Jooncheol Departments of Thoracic and Cardiovascular Surgery - Seoul National University Children’s Hospital - Seoul National University College of Medicine - Seoul, Korea , Cho, Sungkyu Departments of Thoracic and Cardiovascular Surgery - Seoul National University Children’s Hospital - Seoul National University College of Medicine - Seoul, Korea , Kwak, Jae Gun Departments of Thoracic and Cardiovascular Surgery - Seoul National University Children’s Hospital - Seoul National University College of Medicine - Seoul, Korea , Park, June Dong Departments of Pediatrics - Seoul National University Children’s Hospital - Seoul National University College of Medicine - Seoul, Korea , Kim, Woong-Han Departments of Thoracic and Cardiovascular Surgery - Seoul National University Children’s Hospital - Seoul National University College of Medicine - Seoul, Korea
Abstract :
Veno-venous extracorporeal membrane oxygenation (ECMO) is a useful mechanical device
for pediatric patients with severe respiratory failure. Conventional veno-venous ECMO using
double cannulation, however, is not feasible due to size limitations in pediatric patients who
have small femoral vessels. Recently, percutaneous bicaval dual-lumen cannula can be inserted using single cannulation via the right internal jugular vein. Herein, we report the case of a
pediatric patient with severe respiratory failure who was weaned off the ECMO successfully
after treatment with bicaval dual-lumen cannulation for 5 days despite the small body size
and immunocompromised condition due to chemotherapy for hemophagocytic lymphohistiocytosis.
