Postoperative cardiopulmonary failure in tetralogy of Fallot with absent pulmonary valve syndrome treated by extracorporeal membrane oxygenation

When tetralogy of Fallot with absent pulmonary valve syndrome leads to respiratory failure in early infancy, total repair has been advocated. Respiratory insufficiency may persist despite a surgically adequate repair. An infant with this syndrome underwent total surgical correction. Extracorporeal membrane oxygenation was employed in the early postoperative period for intractable pulmonary insufficiency and myocardial dysfunction.