Successful venoarterial extracorporeal membrane oxygenation for postoperative septic shock in a child with liver transplantation: A case report
Michiko Abe
Critical Care Medicine, National Center for Child Health and Development, Tokyo, Japan
Search for more papers by this authorCorresponding Author
Kentaro Ide
Critical Care Medicine, National Center for Child Health and Development, Tokyo, Japan
Correspondence
Kentaro Ide, National Center for Child Health and Development, Okura, Setagaya-ku, Tokyo, Japan.
Email: [email protected]
Search for more papers by this authorNao Nishimura
Critical Care Medicine, National Center for Child Health and Development, Tokyo, Japan
Search for more papers by this authorSatoshi Nakagawa
Critical Care Medicine, National Center for Child Health and Development, Tokyo, Japan
Search for more papers by this authorAkinari Fukuda
Organ Transplantation Center, National Center for Child Health and Development, Tokyo, Japan
Search for more papers by this authorSeisuke Sakamoto
Organ Transplantation Center, National Center for Child Health and Development, Tokyo, Japan
Search for more papers by this authorMureo Kasahara
Organ Transplantation Center, National Center for Child Health and Development, Tokyo, Japan
Search for more papers by this authorMichiko Abe
Critical Care Medicine, National Center for Child Health and Development, Tokyo, Japan
Search for more papers by this authorCorresponding Author
Kentaro Ide
Critical Care Medicine, National Center for Child Health and Development, Tokyo, Japan
Correspondence
Kentaro Ide, National Center for Child Health and Development, Okura, Setagaya-ku, Tokyo, Japan.
Email: [email protected]
Search for more papers by this authorNao Nishimura
Critical Care Medicine, National Center for Child Health and Development, Tokyo, Japan
Search for more papers by this authorSatoshi Nakagawa
Critical Care Medicine, National Center for Child Health and Development, Tokyo, Japan
Search for more papers by this authorAkinari Fukuda
Organ Transplantation Center, National Center for Child Health and Development, Tokyo, Japan
Search for more papers by this authorSeisuke Sakamoto
Organ Transplantation Center, National Center for Child Health and Development, Tokyo, Japan
Search for more papers by this authorMureo Kasahara
Organ Transplantation Center, National Center for Child Health and Development, Tokyo, Japan
Search for more papers by this authorAbstract
Refractory septic shock after LT is a life-threatening complication. VA ECMO is used to treat refractory cardiorespiratory failure. We present herein the case of a 5-year-old girl with post-Kasai biliary atresia, who underwent a living donor LT and suffered refractory septic shock. VA ECMO was indicated due to progressive cardiac deterioration. After full recovery of her EF, she has been steadily improving and has shown good liver function and no neurological sequelae. This is the first report of successful VA ECMO in a post- LT patient with refractory septic shock.
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