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KMID : 0364020100430030304
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Korean Journal of Thoracic and Cardiovascular Surgery
2010 Volume.43 No. 3 p.304 ~ p.307
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The Application of a Bi-ventricular Assist Device for a Low Weight (2.4 kg) Neonate with Coarctation of the Aorta and Critical Aortic Stenosis
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Kwak Jae-Gun
Park Chun-Soo
Lee Chang-Ha
Lee Cheul
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Abstract
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A 5-day-old neonate (body weight=2.4 kg) with coarctation of the aorta and critical aortic stenosis underwent an interventional balloon valvuloplasty for aortic stenosis. During the intervention, cardiac arrest occurred due to injury of the right carotid artery by the guide wire. An extracorporeal membrane oxygenator (ECMO) was applied. After 1 day’s support, total surgical correction was achieved; however, in the immediate postoperative period, cardiac function was severely depressed. We applied a bi-ventricular assist device (bi-VAD) instead of an ECMO and we were able to wean the patient off the bi-VAD device after 3 days’ support. The patient was discharged without severe complications. (Korean J Thorac Cardiovasc Surg 2010;43:304-307)
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KEYWORD
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Extracorporeal circulation, Neonate, Heart-assist device, Aortic stenosis, Coarctation of aorta
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