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Submitted: 23 Sep 2024
Revision: 21 Oct 2025
Accepted: 29 Nov 2025
ePublished: 27 Sep 2026
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J Cardiovasc Thorac Res. 2026;18(3): 227-230.
doi: 10.34172/jcvtr.33362
  Abstract View: 26
  PDF Download: 12

Case Report

Dual-Membrane Oxygenator Use in a Pediatric Patient Undergoing Emergency Congenital Heart Surgery: A Case Report

Amirhossein Jalali 1,2, Alireza Yaghoubi Golverdi 2, Mahmoud Ganjifard 3, Fatemeh Shakhs Emampour 4, Mehdi Hosseini Yazdi 2, Saeid Heydari Nia 2, Seyyed Ebrahim Hosseini Zargaz 5* ORCID logo

1 Congenital Heart Diseases Research Center, Rajaie Cardiovascular Institute, Tehran, Iran
2 Cardiovascular Research Center, Rajaie Cardiovascular Institute, Tehran, Iran
3 Department of Anesthesiology and Critical Care, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran
4 Department of Anesthesiology, School of Medicine, Birjand University of Medical Sciences, Birjnd, Iran
5 Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjnd, Iran
*Corresponding Author: Seyyed Ebrahim Hosseini Zargaz, Email: ebrahimhosseini134zargaz@gmail.com

Abstract

Cardiopulmonary bypass is employed for surgical procedures in these cases. Reports exist of using two membranes in overweight adults and patients; however, to the best of our knowledge, the use of two membranes in infants and children has not been reported yet.

Our case was a 4-year-old child, with a weight of 14 kg, a height of 93 cm, and a body surface area (BSA) of 0.6(m2), who was a candidate for the Rastelli procedure and pulmonary branch reconstruction. Given the child’s BSA, the long duration of the surgery, and the unavailability of an appropriate oxygenator at our center, an oxygenator with two membranes was used for the child.

In cases like ours, where the necessary equipment and an appropriate oxygenator are unavailable, the use of two membranes allows for the safe isolation of the heart and lungs from the circulation, enabling surgical procedures to be performed.


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