Abstract
Objective. Application of extracorporeal membrane oxygenation (AEMO) at treatment of heart failure (HF) is
usually used in pediatric practice in order to reconstruction of pumping ability of heart following the ischemic
injury during cardiopulmonary resuscitation or after long-term procedure on arrested heart. The objective of the
study was to detect predictors, which influence on the results of AEMO at HF in small children after cardiac surgeries.
Material and methods. The diagnostic findings and treatment 58 (0.67%) of operated patients, who underwent
AEMO after cardiosurgical interventions lie in this paper. Indications for AEMO were: impossibility to take the
patient off the heart-lung machine after the procedure (n=42 or 72%), low cardiac output syndrome in early postoperative
period (n=8 or 14%), acute respiratory distress syndrome (n=4 or 7%), residual pulmonary hypertension
(n=2 or 3%).
Results: AEMO in average was 6.2±3.9 days. 14 patients (24%) were successfully taken off AEMO and discharged
from the clinic in satisfactory condition, 44 (76%) patients died (30 patients during the procedure and 14 patients
after decannulation), because of multifactorial complications.
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