Abstract
Extracorporeal cardiopulmonary resuscitation (E-CPR) employs rapid venoarterial extracorporeal membrane oxygenation (VA-ECMO) during cardiopulmonary resuscitation (CPR) to restore perfusion. This case involves a 3.5-month-old girl with anomalous left coronary artery from the pulmonary artery (ALCAPA), severe left ventricular dysfunction, and moderate mitral regurgitation. After surgical correction, she experienced cardiac arrest post-extubation. Conventional CPR failed, and E-CPR was initiated after 70 min. Hemodynamic stability and end-organ function were maintained during 72 h and 45 min on ECMO. Post-decannulation, she showed significant recovery, normal neurological status, and improved cardiac function. At 6 months post discharge, her left ventricular function was normalized.