TY - JOUR
T1 - Use of Aminocaproic Acid With Bivalirudin for Hemostatic Management of Abdominal Surgery for Neonate on Extracorporeal Support
AU - Rabinowitz, Edon J.
AU - Kulp, Blaire
AU - Lahart, Michael A.
AU - Avari Silva, Jennifer N.
AU - Nath, Dilip S.
AU - Dillon, Patrick A.
AU - Said, Ahmed S.
N1 - Publisher Copyright:
© ASAIO 2022.
PY - 2023/1/1
Y1 - 2023/1/1
N2 - A preterm neonate (34 weeks of gestation) weighing 2.5 kg with a history of fetal supraventricular tachycardia (SVT, successfully treated with maternal flecainide, though fetal development of ascites was noted) was transferred to our institution at 10 days of life. Pretransfer electrocardiogram revealed preexcitation, with intermittent orthodromic narrow complex tachycardia at a rate of 220 bpm (Figure 1). Before transfer, antiarrhythmic treatment strategies included propranolol, flecainide, amiodarone, and electrical cardioversion. On the day of transfer, the patient developed incessant SVT, with onset of emesis, hematochezia, abdominal distension, and pneumatosis on abdominal x-ray concerning for necrotizing enterocolitis (NEC).
AB - A preterm neonate (34 weeks of gestation) weighing 2.5 kg with a history of fetal supraventricular tachycardia (SVT, successfully treated with maternal flecainide, though fetal development of ascites was noted) was transferred to our institution at 10 days of life. Pretransfer electrocardiogram revealed preexcitation, with intermittent orthodromic narrow complex tachycardia at a rate of 220 bpm (Figure 1). Before transfer, antiarrhythmic treatment strategies included propranolol, flecainide, amiodarone, and electrical cardioversion. On the day of transfer, the patient developed incessant SVT, with onset of emesis, hematochezia, abdominal distension, and pneumatosis on abdominal x-ray concerning for necrotizing enterocolitis (NEC).
KW - abdominal surgery
KW - aminocaproic acid
KW - bivalirudin
KW - extracorporeal membrane oxygenation
KW - necrotizing enterocolitis
KW - neonatal extracorporeal membrane oxygenation
UR - http://www.scopus.com/inward/record.url?scp=85145424525&partnerID=8YFLogxK
U2 - 10.1097/MAT.0000000000001736
DO - 10.1097/MAT.0000000000001736
M3 - Article
C2 - 35439195
AN - SCOPUS:85145424525
SN - 1058-2916
VL - 69
SP - E42-E45
JO - ASAIO Journal
JF - ASAIO Journal
IS - 1
ER -