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KMID : 0438520100170010109
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Journal of the Korean Society of Neonatology
2010 Volume.17 No. 1 p.109 ~ p.115
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Two Cases of Neonatal Persistent Pulmonary Hypertension Treated by Veno-venous Extracorporeal Membrane Oxygenation (V-V ECMO)
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Yu Hee-Joon
Sung Se-In
Kim Jin-Kyu
Suh Hyun-Joo
Choi Seo-Hui
Yoo Hye-Soo
Ahn So-Yoon
Kim Eun-Sun
Yang Ji-Hyuk
Huh June
Chang Yun-Sil
Kang I-Seok
Jun Tae-Gook
Park Won-Soon
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Abstract
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Persistent pulmonary hypertension in newborns (PPHN) is a disorder of the vascular transition from fetal to neonatal circulation. It results in cyanosis due to right-to-left shunting of the blood through the ductus arteriosus and/or foramen ovale manifesting as hypoxemic respiratory failure. We managed two cases of PPHN after meconium aspiration with high frequency oscillating ventilators and inhaled nitric oxide. They did not respond to conventional management. Veno-venous extracorporeal membrane oxygenation (ECMO) was provided, and ECMO weaning was possible resulting survivals in two cases. We report two PPHN cases, which were treated successfully with veno-venous ECMO for the first time in Korea.
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KEYWORD
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Persistent pulmonary hypertension of the newborn, Meconium aspiration syndrome, Respiratory failure, Veno-veno extracorporeal membrane oxygenation
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