ECMO support after arterial switch operation: A case report series from a single institution

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Kanyarad Boonthim
Jule Namchaisiri
Vichai Benjacholamas


Extracorporeal membrane oxygenators (ECMO) after arterial switch operation (ASO) is a rescue therapy for
patients who cannot wean from cardiopulmonary bypass as a bridge to recovery and/or transplantation. We,
hereby, present a case report series of four patients from an institute who underwent ECMO after ASO for
dextro-transposition of the great arteries (d-TGA). Two patients subsequently weaned off ECMO but only one
patient survived to discharge. ASO is a complex surgery that requires an approach of a multi-disciplinary team
where ECMO is a useful adjunct for recovery in difficult cases. Nevertheless, ECMO after ASO involves
discriminating patient selection, prompt timing to initiate and good care team management to achieve acceptable results and survival.

Article Details

Clinical report