• Pediatr Crit Care Me · Sep 2006

    Case Reports

    A child with anterior mediastinal mass supported with veno-arterial extracorporeal membrane oxygenation.

    • Talya K E Frey, Arun Chopra, Richard J Lin, Richard J Levy, Peter Gruber, Susan R Rheingold, and K Sarah Hoehn.
    • Department of Anesthesiology, Children's Hospital of Philadelphia, USA.
    • Pediatr Crit Care Me. 2006 Sep 1;7(5):479-81.

    ObjectiveTo demonstrate the utility of rescue with veno-arterial extracorporeal membrane oxygenation (VA-ECMO) and to demonstrate the feasibility of administration of chemotherapy during VA-ECMO in a child with an anterior mediastinal mass.DesignCase report.SettingLarge, tertiary care, pediatric intensive care unit.PatientOne patient with cardiopulmonary collapse in the setting of a new diagnosis of an anterior mediastinal mass.InterventionsCardiopulmonary support with VA-ECMO; administration of chemotherapy during VA-ECMO.Measurements And Main ResultsSuccessful rescue with VA-ECMO and successful chemotherapy while on VA-ECMO.ConclusionsVA-ECMO can be successfully used to support patients with cardiopulmonary failure during initial diagnosis of an anterior mediastinal mass. In addition, we have demonstrated that successful chemotherapy can be administered while the patient is supported on VA-ECMO.

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