Case Reports

Veno-Venous Extracorporeal Membrane Oxygenation for Continuous Renal Replacement in a Neonate with Propionic Acidemia

^* Division of Pediatric Surgery, Department of Surgery
^† Division of Pediatric Nephrology, Department of Pediatrics
^‡ Division of Pediatric Genetics, Department of Pediatrics
^§ Division of Pediatric Critical Care Medicine, Department of Pediatrics, University of Virginia School of Medicine, Charlottesville, Virginia

Address correspondence to: Jeffrey W. Gander, MD, Division of Pediatric Surgery, University of Virginia School of Medicine, PO Box 800709, Charlottesville, VA 22903. E-mail: jg9br@virginia.edu

Received: 14 October 2016
Accepted: 17 November 2016

Abstract

The usual indications for extra corporeal membrane oxygenation (ECMO) are for respiratory or cardiac failure. Although continuous renal replacement therapy (CRRT) is frequently used when patients are on ECMO, the need for CRRT as the primary indication for ECMO is rare. A case of a neonate placed onto veno-venous ECMO for the use of CRRT to treat hyperammonemia from propionic acidemia is presented.