Author/Authors :
Rasheed, Riffat Aga Khan University - Department of Pediatric and Child Health, Pediatric Intensive Care, Pakistan , Hidayat, Ijaz Aga Khan University - Department of Nursing, Pakistan , Amanullah, Muneer Aga Khan University - Department of Surgery, Section of Cardiothoracic Surgery, Pakistan , Hasan, Babar Sultan Aga Khan University - Department of Pediatrics and Child Heath, Pediatric Cardiology, Pakistan
Abstract :
A 35 days old neonate with d-loop transposition of great arteries, underwent an arterial switch operation following which he developed hypotension attributed to left ventricular failure. During cardiopulmonary resuscitation decision was made to place him on cardiac bypass again. Due to limited resources and unavailability of a specialized extracorporeal membrane oxygenator machine, the CPB was modified and converted an ECMO. The neonate was successfully decannulated after 72 hours and discharged home after 3 weeks of the operation without any sequel. ECMO is a viable option in developing countries and may help in improving the outcome especially in neonatal congenital heart disease.
