Prolonged Pediatric Extracorporeal Membrane Oxygenation Support with Cardiopulmonary Failure in Juvenile Myelomonocytic Leukemia

Bartkevics, Maris; Hennig, Bert; Gungor, Tayfun; Ammann, Roland; Kadner, Alexander (2020). Prolonged Pediatric Extracorporeal Membrane Oxygenation Support with Cardiopulmonary Failure in Juvenile Myelomonocytic Leukemia. Case reports in hematology, 2020, pp. 1-3. Hindawi 10.1155/2020/5696380

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We report a case of a child survival after extracorporeal membrane oxygenation (ECMO) support of 25 days for cardiopulmonary failure and septic shock in the context of juvenile myelomonocytic leukemia (JMML). ECMO support is still a matter of debate for the management of septic patients with malignancy. However, these patients are at increased risk for early death secondary to pulmonary complications due to leukostasis, direct pulmonary infiltration with WBC, and systemic inflammatory response syndrome following malignant cell lysis. Despite the high risk of complications, ECMO support must be discussed as part of management, providing better outcome in this group of patients.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiovascular Surgery
04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine

UniBE Contributor:

Bartkevics, Maris; Hennig, Bert; Ammann, Roland and Kadner, Alexander

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2090-6560

Publisher:

Hindawi

Language:

English

Submitter:

Claudia Stalder

Date Deposited:

10 Feb 2020 11:12

Last Modified:

10 Feb 2020 11:12

Publisher DOI:

10.1155/2020/5696380

BORIS DOI:

10.7892/boris.139678

URI:

https://boris.unibe.ch/id/eprint/139678

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