Prolonged Pediatric Extracorporeal Membrane Oxygenation Support with Cardiopulmonary Failure in Juvenile Myelomonocytic Leukemia
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 maligna...
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Wiley
2020-01-01
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Series: | Case Reports in Hematology |
Online Access: | http://dx.doi.org/10.1155/2020/5696380 |
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author | Maris Bartkevics Bert Hennig Tayfun Gungor Roland Ammann Alexander Kadner |
author_facet | Maris Bartkevics Bert Hennig Tayfun Gungor Roland Ammann Alexander Kadner |
author_sort | Maris Bartkevics |
collection | DOAJ |
description | 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. |
format | Article |
id | doaj-art-deebf725951f41d4b676161ba68b0d5e |
institution | Kabale University |
issn | 2090-6560 2090-6579 |
language | English |
publishDate | 2020-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Hematology |
spelling | doaj-art-deebf725951f41d4b676161ba68b0d5e2025-02-03T06:06:43ZengWileyCase Reports in Hematology2090-65602090-65792020-01-01202010.1155/2020/56963805696380Prolonged Pediatric Extracorporeal Membrane Oxygenation Support with Cardiopulmonary Failure in Juvenile Myelomonocytic LeukemiaMaris Bartkevics0Bert Hennig1Tayfun Gungor2Roland Ammann3Alexander Kadner4Center for Congenital Heart Disease, Department of Cardiovascular Surgery, Inselspital University Hospital, Bern University, Bern, SwitzerlandDepartment of Pediatrics, University Children’s Hospital, Bern University, Bern, SwitzerlandDepartment of Stem Cell Transplantation, University Children’s Hospital Zurich, University Zurich, Zürich, SwitzerlandDepartment of Pediatrics, University Children’s Hospital, Bern University, Bern, SwitzerlandCenter for Congenital Heart Disease, Department of Cardiovascular Surgery, Inselspital University Hospital, Bern University, Bern, SwitzerlandWe 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.http://dx.doi.org/10.1155/2020/5696380 |
spellingShingle | Maris Bartkevics Bert Hennig Tayfun Gungor Roland Ammann Alexander Kadner Prolonged Pediatric Extracorporeal Membrane Oxygenation Support with Cardiopulmonary Failure in Juvenile Myelomonocytic Leukemia Case Reports in Hematology |
title | Prolonged Pediatric Extracorporeal Membrane Oxygenation Support with Cardiopulmonary Failure in Juvenile Myelomonocytic Leukemia |
title_full | Prolonged Pediatric Extracorporeal Membrane Oxygenation Support with Cardiopulmonary Failure in Juvenile Myelomonocytic Leukemia |
title_fullStr | Prolonged Pediatric Extracorporeal Membrane Oxygenation Support with Cardiopulmonary Failure in Juvenile Myelomonocytic Leukemia |
title_full_unstemmed | Prolonged Pediatric Extracorporeal Membrane Oxygenation Support with Cardiopulmonary Failure in Juvenile Myelomonocytic Leukemia |
title_short | Prolonged Pediatric Extracorporeal Membrane Oxygenation Support with Cardiopulmonary Failure in Juvenile Myelomonocytic Leukemia |
title_sort | prolonged pediatric extracorporeal membrane oxygenation support with cardiopulmonary failure in juvenile myelomonocytic leukemia |
url | http://dx.doi.org/10.1155/2020/5696380 |
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