This presentation reflects on the clinical and emotional journey of managing an 11 year old boy who developed severe cardiac failure secondary to dilated cardiomyopathy. Initially admitted with respiratory distress and end-organ dysfunction, he required escalating inotropic support and was commenced on peripheral VA ECMO in Leeds. Following transfer to GOSH, his support was transitioned from ECMO to an LVAD and later to CPB for heart transplantation.
The session reviews key decision-making processes, inter-hospital co-ordination and the challenges associated with prolonged mechanical circulatory support in paeditaric patients. It also reflects on the personal impact such cases have on healthcare professionals, emphasising teamwork, communication and emotional resilience. The presentation highlights both the technical complexities and the human aspects of providing high levels of ECLS care.
Victoria is a senior clinical perfusionist specialising in paediatrics, with over 20 years experience. She delivers lectures both in-house and to MSc students at UCL. Victoria is a faculty member of Euro ELSO. Victoria work at the Great Ormond Street Hospital for Children NHS Foundation Trust.