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PEDIATRIC ANESTHESIOLOGY

Emergency Interventional Lung Assist for Pulmonary Hypertension

From the Department of Anesthesia, Hospital for Sick Children, Toronto, Canada.

Address correspondence and reprint requests to Katherine Taylor, BMed (Hons), BA, FANZCA, PG Dip ECHO, Department of Anesthesia, Hospital for Sick Children, 555 University Ave., Toronto, Canada. Address e-mail to katherine.taylor{at}sickkids.ca.

Abstract

We present a 15-yr-old-girl who underwent interventional lung assist via Novalung® (Novalung GmbH, Lotzenaecker, Heckingen, Germany) insertion as a bridge to bilateral lung transplantation for pulmonary veno-occlusive disease. This is the first pediatric and smallest patient to receive the device. Central cannulation was chosen to optimize blood flow through the device by enabling larger-sized cannulae in a patient with high pulmonary artery pressure. Novalung provided circulatory support with oxygenation obviating the need for extracorporeal membrane oxygenation while waiting for lung transplantation.