Abstract:

A Down syndrome female born at 35 wk estimated gestational age with non-immune hydrops fetalis associated with a complete atrioventricular septal defect and large patent ductus arteriosus with hypoxemia, severe anasarca and hypotension was treated successfully with extracorporeal life support for severe cardiopulmonary failure leading to eventual hospital discharge and elective repair of her cardiac defect. The case demonstrates that extracorporeal life support may be an effective therapy when initiated early in patients with non-immune hydrops fetalis associated with significant cardiac abnormalities.

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Extracorporeal life support for nonimmune hydrops fetalis

Abstract

A Down syndrome female born at 35 wk estimated gestational age with non-immune hydrops fetalis associated with a complete atrioventricular septal defect and large patent ductus arteriosus with hypoxemia, severe anasarca and hypotension was treated successfully with extracorporeal life support for severe cardiopulmonary failure leading to eventual hospital discharge and elective repair of her cardiac defect. The case demonstrates that extracorporeal life support may be an effective therapy when initiated early in patients with non-immune hydrops fetalis associated with significant cardiac abnormalities.

Keywords: Cardiac anatomy, pathologic anatomy, congenital heart disease, septal defect, extracorporeal membrane oxygenation

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^{Division of Cardiothoracic Surgery, UC Davis Medical Center, Sacramento, CA, USA}

^{Department of Pediatric Cardiology, UC Davis Medical Center, Sacramento, CA, USA}

Address for correspondence Russell G. Witt Division of Cardiothoracic Surgery, University of California DavisMedical Center, 2221 Stockton Blvd., Room 2112, Sacramento, CA 95817, USA, Phone: Tel.: +1 916 734 1508, Fax: Fax: +1 916 734 3066, moc.liamg@ttiwgllessur

Received 2012 Mar 20; Accepted 2012 Jun 10.

Abstract

A Down syndrome female born at 35 wk estimated gestational age with non-immune hydrops fetalis associated with a complete atrioventricular septal defect and large patent ductus arteriosus with hypoxemia, severe anasarca and hypotension was treated successfully with extracorporeal life support for severe cardiopulmonary failure leading to eventual hospital discharge and elective repair of her cardiac defect. The case demonstrates that extracorporeal life support may be an effective therapy when initiated early in patients with non-immune hydrops fetalis associated with significant cardiac abnormalities.

Keywords: Cardiac anatomy, pathologic anatomy, congenital heart disease, septal defect, extracorporeal membrane oxygenation

Abstract

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