Chulalongkorn Medical Journal


Extracorporeal membrane oxygenators (ECMO) after arterial switch operation (ASO) is a rescue therapy forpatients who cannot wean from cardiopulmonary bypass as a bridge to recovery and/or transplantation. We,hereby, present a case report series of four patients from an institute who underwent ECMO after ASO fordextro-transposition of the great arteries (d-TGA). Two patients subsequently weaned off ECMO but only onepatient survived to discharge. ASO is a complex surgery that requires an approach of a multi-disciplinary teamwhere ECMO is a useful adjunct for recovery in difficult cases. Nevertheless, ECMO after ASO involvesdiscriminating patient selection, prompt timing to initiate and good care team management to achieve acceptable results and survival.


Faculty of Medicine, Chulalongkorn University

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