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Extracorporeal Membrane Oxygenation in a 1,360-g Premature Neonate after Repairing Total Anomalous Pulmonary Venous Return

  • Rhee, Youn Ju;Han, Sung Joon;Chong, Yoo Young;Kang, Min-Woong;Kang, Shin Kwang;Yu, Jae-Hyeon
    • Journal of Chest Surgery
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    • v.49 no.5
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    • pp.379-382
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    • 2016

  • With advancements in complex repairs in neonates with complicated congenital heart diseases, extracorporeal membrane oxygenation (ECMO) has been increasingly used as cardiac support. ECMO has also been increasingly used for low birth weight (LBW) or very low birth weight (VLBW) neonates. However, since prematurity and LBW are risk factors for ECMO, the appropriate indications for neonates with LBW, especially VLBW, are under dispute. We report a case of ECMO performed in a 1,360-g premature infant with VLBW due to cardiopulmonary bypass weaning failure after repairing infracardiac total anomalous pulmonary venous return.

  • https://doi.org/10.5090/kjtcs.2016.49.5.379 인용 PDF KSCI

Endovascular recanalization therapy for patients with acute ischemic stroke with hidden aortic dissection: A case series

  • Hye Seon Jeong;Eun-Oh Jeong;In Young Lee;Hak In Lee;Hyeon-Song Koh;Hyon-Jo Kwon
    • Journal of Cerebrovascular and Endovascular Neurosurgery
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    • v.25 no.3
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    • pp.333-339
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    • 2023

  • Aortic dissection is one of the causes of acute ischemic stroke. Endovascular recanalization therapy (EVT) has emerged as an essential treatment for acute ischemic stroke due to large artery occlusion. However, it is rarely performed in the situation of hidden aortic dissection (AD). Two patients presented to the emergency room with focal neurologic deficits. The first patient was diagnosed with right internal carotid artery (ICA) occlusion. Angiography revealed that the ICA was occluded by the dissection flap. After a stent deployment in the proximal ICA, the antegrade flow was restored. The patient was diagnosed with AD on chest computed tomography (CT) after EVT. For the second patient, intraarterial thrombectomy was performed to treat left middle cerebral artery occlusion. AD was first detected on echocardiography, which was performed after EVT. Herein, we report successful endovascular recanalization therapy performed in two patients with acute ischemic stroke in the situation of undiagnosed aortic dissection. We also reviewed previous case reports and relevant literature.

  • https://doi.org/10.7461/jcen.2022.E2022.06.011 인용 PDF