The significance of ductal shunting during extracorporeal membrane oxygenation

Kenneth D. Burch, Wesley Covitz, Etheridge J. Lovett, Charles Howell, William P. Kanto

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

The purpose of this study was to evaluate the significance and direction of shunts at the level of the foramen ovale or ductus arteriosus in full-term newborns with neonatal respiratory failure who were placed on extracorporeal membrane oxygenation (ECMO). A decrease in left ventricular dimension was expected when infants were placed on ECMO but did not occur. A left-to-right shunt was demonstrated at the ductal level in nine of 12 infants early in the course of ECMO before pulmonary resistance decreased. Presumably, the lack of change in the left ventricular dimension when infants were placed on bypass was due to a left-to-right shunt at the ductal level with ductal flow replacing the right heart output, being drawn into the bypass circuit.

Original languageEnglish (US)
Pages (from-to)855-859
Number of pages5
JournalJournal of Pediatric Surgery
Volume24
Issue number9
DOIs
StatePublished - Jan 1 1989
Externally publishedYes

Keywords

  • Extracorporeal membrane oxygenation
  • neonatal respiratory failure
  • patent ductus arteriosus

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

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