CLINICAL OUTCOMES OF 22 PEDIATRIC PATIENTS WITH CONGENITAL HEART DISEASE MANAGED WITH MECHANICAL CIR

• 作 者: FU Wei-ding TANG Jia-zhong SHE
• 机 构: Department of Thoracic and Cardiovascular Surgery
• 出 处: 上海交通大学学报（医学英文版）
• 发表日期: 2004年期
• 关键词: congenital heart disease mechanical circulatory support pediatric patient

Objective To investigate the clinical outcomes of children with congenital heart disease ( CHD ) requiring extracorporeal membrane oxygenation (ECMO) and left ventricular assist device (LVAD) support after cardiac surgery. Methods A total of 22 patients with CHD who required postcardiotomy mechanical circulatory support between March 2004 and March 2011 ( 85 months ) were analyzed retrospectively,Median age of the patients was 420 d ( 15 d-4 years) and median weight was 3.4 kg ( 2 - 14.5 kg ).Eight patients were put on ECMO,while 14 patients were placed on LVAD.Results Thirteen (59％) patients died and 9 (41％) survived to discharge.In survivals,the duration of LVAD and the duration of ECMO were both shorter than those of nonsurvivals ( P ＜0.05). The main complication was bleeding. Conclusion The earlier treatment and application of more advanced cardiac support devices for CHD patients are key factors for reducing complications.