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<p>Extracorporeal cardiopulmonary resuscitation (E-CPR) employs rapid venoarterial extracorporeal membrane oxygenation (VA-ECMO) during cardiopulmonary resuscitation (CPR) to restore perfusion. This case involves a 3.5-month-old girl with anomalous left coronary artery from the pulmonary artery (ALCAPA), severe left ventricular dysfunction, and moderate mitral regurgitation. After surgical correction, she experienced cardiac arrest post-extubation. Conventional CPR failed, and E-CPR was initiated after 70&#xa0;min. Hemodynamic stability and end-organ function were maintained during 72&#xa0;h and 45&#xa0;min on ECMO. Post-decannulation, she showed significant recovery, normal neurological status, and improved cardiac function. At 6&#xa0;months post discharge, her left ventricular function was normalized.</p>

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E-CPR: coming back to life

  • 期刊论文

  • 发表日期：

    2025年2月15日

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  • Shubhadeep Das,
  • Debasis Das,
  • Nilanjan Dutta,
  • Manish Kumar Sharma

摘要

Extracorporeal cardiopulmonary resuscitation (E-CPR) employs rapid venoarterial extracorporeal membrane oxygenation (VA-ECMO) during cardiopulmonary resuscitation (CPR) to restore perfusion. This case involves a 3.5-month-old girl with anomalous left coronary artery from the pulmonary artery (ALCAPA), severe left ventricular dysfunction, and moderate mitral regurgitation. After surgical correction, she experienced cardiac arrest post-extubation. Conventional CPR failed, and E-CPR was initiated after 70 min. Hemodynamic stability and end-organ function were maintained during 72 h and 45 min on ECMO. Post-decannulation, she showed significant recovery, normal neurological status, and improved cardiac function. At 6 months post discharge, her left ventricular function was normalized.