CytoSorb<sup>®</sup> hemoadsorption and mechanical circulatory support in a newborn with refractory shock after congenital heart surgery.

Details

Serval ID
serval:BIB_3A83803C5061
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
CytoSorb<sup>®</sup> hemoadsorption and mechanical circulatory support in a newborn with refractory shock after congenital heart surgery.
Journal
The International journal of artificial organs
Author(s)
Perez M.H., Maitre G., Longchamp D., Amiet V., Natterer J., Ferry T., Schneider A., Plaza Wuthrich S., Di Bernardo S.
ISSN
1724-6040 (Electronic)
ISSN-L
0391-3988
Publication state
Published
Issued date
09/2019
Peer-reviewed
Oui
Volume
42
Number
9
Pages
521-524
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Refractory cardiogenic and vasoplegic shock after congenital heart surgery is a threatening condition leading to high morbidity and mortality. Control of hemodynamic and inflammatory response is fundamental in medical strategy. We report the case of a newborn with cardiogenic and vasoplegic shock secondary to cardiopulmonary bypass for atrioseptostomy and prostaglandin treatment in the context of hypoplastic left heart syndrome, successfully treated with a combination of mechanical circulatory support and cytokine hemoadsorption column (CytoSorb <sup>®</sup> ). Vasopressor support was weaned during the time of treatment without multiple organ failure occurrence. The use of CytoSorb <sup>®</sup> cartridge inserted in an extra-corporeal circuit even in a newborn is easy and feasible, as long as some precautions are considered. Routine monitoring of drugs levels is mandatory during the use of the cartridge and immediately after.
Keywords
CytoSorb, cardiogenic shock, mechanical cardiac support, vasoplegic shock
Pubmed
Web of science
Create date
15/04/2019 16:36
Last modification date
23/09/2019 5:09
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