Excessive bleeding on extracorporeal membrane oxygenation after surgical repair of type I truncus arteriosus: A case report

Severe bleeding remains the most common complication of extracorporeal memb rane oxygenation (ECMO) following surgical repair of congenital heart defec ts. We present a case of excessive hemorrhage within the first hours on ECM O support after repair of a type I truncus arteriosus. Bleeding control was achieved by surgical repair following failure of conventional intervention s to control hemorrhage despite normalization of laboratory coagulation par ameters. Aspects associated with bleeding and bleeding control during extra corporeal circulation after cardiac surgery are discussed.