Case Report: Extracorporeal Membrane Oxygenation In Curing A Young Man Post-Operative of The Modified Fontan Operation Article Swipe
YOU?
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· 2021
· Open Access
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· DOI: https://doi.org/10.21203/rs.3.rs-1032227/v1
Background: The Fontan operation is the only treatment option to change the anatomy of the heart and help improve patients’ hemodynamics. After successful operation, patients typically recover the ability to engage in general physical activity. The mortality of patients diagnosed with acute respiratory distress syndrome (ARDS) ranges from 17.3 to 41.4% among critically ill patients with H1N1 infection. As a better ventilatory strategy, extracorporeal membrane oxygenation (ECMO) provides gas exchange via an extracorporeal circuit, and is increasingly being used to improve respiratory and circulatory function. As is known to all, after the modified Fontan operation, circulation was different compared with patients who were not subjected to the procedure. But very few articles describe the special circulation about the case who was post-operative of the modified Fontan operation especially when it received the treatment of E-CMO. This study aims to describe a successful case using E-CMO in curing the influenza A infection in a young man, who was diagnosed with Tausing-Bing syndrome and underwent Fontan operation thirteen years ago. We want to explore the special cardiac structure and circulatory characteristics in this case.Methods: To report a successful case using extracorporeal membrane oxygenation in curing the influenza A infection in a young man, who was diagnosed with Tausing-Bing syndrome and underwent Fontan operation thirteen years ago. In this article, we describe a 23-year-old man, with a history of modified Fontan operation for the Tausing-Bing syndrome, admitted to ICU with severe acute respiratory distress syndrome as a result of influenza A infection. The man was initially treated by V-V ECMO, five days later was switched to V-V-A E-CMO. Results: As circulation and respiratory function gradually improved, the VV-A ECMO equipment was removed on May 1, 2018.The patient was successfully withdrawn from artificial ventilation on May 28, 2018, then discharged from hospital on May 30, 2018.Conclusion: After the modified Fontan operation, circulation was different compared with patients who were not subjected to the procedure. There were certainly many differences between the two sides when they received the treatment of E-CMO. As the special cardiac structure and circulatory characteristics, an individualized liquid management strategy was necessary and it might be better for them to choose an active cycle support earlier.
Related Topics
- Type
- preprint
- Language
- en
- Landing Page
- https://doi.org/10.21203/rs.3.rs-1032227/v1
- https://www.researchsquare.com/article/rs-1032227/latest.pdf
- OA Status
- gold
- References
- 7
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4200027672
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4200027672Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.21203/rs.3.rs-1032227/v1Digital Object Identifier
- Title
-
Case Report: Extracorporeal Membrane Oxygenation In Curing A Young Man Post-Operative of The Modified Fontan OperationWork title
- Type
-
preprintOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2021Year of publication
- Publication date
-
2021-11-19Full publication date if available
- Authors
-
Hebing Guo, Jianbo Tan, Yongchao Cui, Haofeng Xiong, Chuansheng Li, Yufeng Liu, Yao Sun, Lin Pu, Xiang Pan, Ming Zhang, Jingjing Hao, Ningning Yin, Xiaotong Hou, Jingyuan LiuList of authors in order
- Landing page
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https://doi.org/10.21203/rs.3.rs-1032227/v1Publisher landing page
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https://www.researchsquare.com/article/rs-1032227/latest.pdfDirect link to full text PDF
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://www.researchsquare.com/article/rs-1032227/latest.pdfDirect OA link when available
- Concepts
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Extracorporeal membrane oxygenation, Curing (chemistry), Oxygenation, Extracorporeal circulation, Extracorporeal, Medicine, Cardiology, Internal medicine, Materials science, Polymer chemistryTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- References (count)
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7Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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