• Marie-Hélène Perez, Guillaume Maitre, David Longchamp, Vivianne Amiet, Julia Natterer, Thomas Ferry, Antoine Schneider, Sonia Plaza Wuthrich, and Di BernardoStefanoS3 Paediatric Cardiology Unit, Department of Paediatrics, Lausanne University Hospital (CHUV), Lausanne, Switzerland..
• 1 Paediatric Intensive Care Unit, Department of Paediatrics, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
• Int J Artif Organs. 2019 Sep 1; 42 (9): 521-524.

AbstractRefractory cardiogenic and vasoplegic shock after congenital heart surgery is a threatening condition leading to high morbidity and mortality. Control of hemodynamic and inflammatory response is fundamental in medical strategy. We report the case of a newborn with cardiogenic and vasoplegic shock secondary to cardiopulmonary bypass for atrioseptostomy and prostaglandin treatment in the context of hypoplastic left heart syndrome, successfully treated with a combination of mechanical circulatory support and cytokine hemoadsorption column (CytoSorb®). Vasopressor support was weaned during the time of treatment without multiple organ failure occurrence. The use of CytoSorb® cartridge inserted in an extra-corporeal circuit even in a newborn is easy and feasible, as long as some precautions are considered. Routine monitoring of drugs levels is mandatory during the use of the cartridge and immediately after.

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