Excessive bleeding on extracorporeal membrane oxygenation after surgical repair of type I truncus arteriosus: A case report

Artif Organs. 1999 Nov;23(11):1033-5. doi: 10.1046/j.1525-1594.1999.06460.x.


Severe bleeding remains the most common complication of extracorporeal membrane oxygenation (ECMO) following surgical repair of congenital heart defects. We present a case of excessive hemorrhage within the first hours on ECMO support after repair of a type I truncus arteriosus. Bleeding control was achieved by surgical repair following failure of conventional interventions to control hemorrhage despite normalization of laboratory coagulation parameters. Aspects associated with bleeding and bleeding control during extracorporeal circulation after cardiac surgery are discussed.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cardiac Catheterization / adverse effects
  • Cardiac Catheterization / instrumentation
  • Erythrocyte Transfusion
  • Extracorporeal Membrane Oxygenation / adverse effects*
  • Extracorporeal Membrane Oxygenation / instrumentation
  • Female
  • Hemostatic Techniques
  • Humans
  • Infant
  • Plasma
  • Platelet Transfusion
  • Postoperative Hemorrhage / etiology*
  • Postoperative Hemorrhage / prevention & control
  • Postoperative Hemorrhage / surgery
  • Reoperation
  • Truncus Arteriosus, Persistent / surgery*