Hello everyone,

about 95% of our post ECMO CDH repaired babies end up on sildenafil

Some of the cardiologists advocate leaving sildenafil on until outpatient follow up and up to 2 years of age regardless of ECHO findings but some stop as soon as the 1 month post repair ECHO shows no pulmonary HTN

What is your institutional experience?

Thank you,

LIA IORDANOGLOU

There is an ongoing study (in EU, Canada, Australia) trying to help with this question: https://bmjopen.bmj.com/content/9/11/e032122

I have seen both happen - short therapy and longer therapy with sildenafil.