Successful Management of Congenital Diaphragmatic Hernia with ECMO: First Case Report in Mexico Manejo exitoso de hernia diafragmática congénita con ECMO. Primer reporte de caso en México
Academic Article in Scopus
INTRODUCTION: Congenital Diaphragmatic Hernia affects 1 in 3,000 births with a high incidence of morbidity and mortality, especially if it is associated with congenital malformations such as cardiac anomalies. The management of the congenital diaphragmatic hernia has to be multidisciplinary which includes the pre and post-natal evaluation. OBJECTIVE: To report the frst successful case in Mexico with of a patient with congenital diaphragmatic hernia managed with extracorporeal membrane oxygenation. CASE REPORT: This is a male patient born at 37.5 weeks of gestation with prenatal diagnosis of congenital diaphragmatic hernia at 24 weeks of gestation with no other anomalies and a lung/head ratio of 1.7. The patient presents at six hours postnatally with a pre-ductal oxygen saturation of 78% and post-ductal of 58% with an oxygenation index of 41 despite aggressive medical and ventilator management, for that reason the patient was intervened and the extracorporeal membrane oxygenation implemented.
