Successful management of long-term venovenous ECMO for severe PARDS in a child with acute lymphoblastic leukemia.
Hasan Özen, Gülçin Karaçoban, Fevzi Kahveci et al.
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Case in brief
A 5-year-old boy with low-risk B-cell acute lymphoblastic leukemia developed severe, refractory pediatric acute respiratory distress syndrome during induction therapy, with profound hypoxemia. He received venovenous extracorporeal membrane oxygenation for 34 days and was successfully decannulated. After a total hospitalization of 235 days, he was discharged. The report describes successful prolonged VV-ECMO support in a child with ALL and severe PARDS.
What made this case unusual
The case involved prolonged VV-ECMO support for severe PARDS in a child undergoing treatment for ALL, with successful decannulation after 34 days.
Diagnostic / clinical pearl
In this case, prolonged VV-ECMO was feasible as rescue support for potentially reversible respiratory failure in a child with ALL and a favorable oncological prognosis.