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Ann Thorac Surg. 2013 Feb;95(2):692-4. doi: 10.1016/j.athoracsur.2012.05.128.

Neonatal paracorporeal lung assist device for respiratory failure.

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Division of Pediatric Cardiothoracic Surgery, Department of Surgery, Saint Louis Children's Hospital and Washington University, Saint Louis, St. Louis, Missouri, USA.


Neonates who experience respiratory failure despite maximal ventilatory support have only extracorporeal membrane oxygenation as a rescue therapy, but it has very poor outcomes as a bridge to transplantation. A pumpless lung-assist device has been used in adults as a bridge to lung transplantation. An alternative membrane oxygenator, the Quadrox iD, is a suitable size for neonatal blood flow. Here we report the use of the Quadrox iD membrane oxygenator with central cannulation as a paracorporeal respiratory support therapy for a neonate with alveolar capillary dysplasia awaiting lung transplantation.

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