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Successful liver transplantation following veno-arterial extracorporeal membrane oxygenation in a child with fulminant Wilson disease and severe pulmonary hemorrhage: A case report.
MedLine Citation:
PMID:  22093921     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Son SK, Oh SH, Kim KM, Lee YJ, Jhang WK, Park SJ, Shin HJ, Park J-J, Kim TH, Kim DY, Hwang S, Park K-M, Lee Y-J, Lee S-G. Successful liver transplantation following veno-arterial extracorporeal membrane oxygenation in a child with fulminant Wilson disease and severe pulmonary hemorrhage: A case report. Pediatr Transplantation 2011. © 2011 John Wiley & Sons A/S. Abstract:  Massive pulmonary hemorrhage and other serious cardiopulmonary diseases in patients with fulminant hepatitis result not only in graft failure but also mortality after LT. ECMO is used to treat children with cardiorespiratory failure refractory to conventional intensive care. We describe a five-yr-old girl with genetically confirmed fulminant Wilson disease and severe pulmonary hemorrhage who underwent successful primary LT following veno-arterial ECMO. To our knowledge, this is the first report of successful primary LT in a patient using veno-arterial ECMO. The present case demonstrates that ECMO, as a bridging modality to LT, may be necessary to manage both massive pulmonary hemorrhage and possible graft loss because of hypoxemia.
Authors:
Seung Kook Son; Seak Hee Oh; Kyung Mo Kim; Yeoun Joo Lee; Won Kyoung Jhang; Seong Jong Park; Hong Ju Shin; Jeong-Jun Park; Tae Hoon Kim; Dae Yeon Kim; Shin Hwang; Kwang-Min Park; Young-Joo Lee; Sung-Gyu Lee
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-11-17
Journal Detail:
Title:  Pediatric transplantation     Volume:  -     ISSN:  1399-3046     ISO Abbreviation:  -     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-11-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9802574     Medline TA:  Pediatr Transplant     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2011 John Wiley & Sons A/S.
Affiliation:
Department of Pediatrics Department of Pediatric Cardiac Surgery Department of Pediatric Surgery, Asan Medical Center Children's Hospital Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
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