Veno-venous extracorporeal membrane oxygenation in surgery for bronchial repair

Ann Thorac Surg. 2008 Oct;86(4):1348-9. doi: 10.1016/j.athoracsur.2008.04.018.

Abstract

Single-lung ventilation using a double-lumen endobronchial tube is often performed for surgical procedures involving the thorax. Tracheobronchial rupture during use of an endobronchial tube is an uncommon and serious complication. We present the case of a patient undergoing a right pneumonectomy who experienced a bronchial rupture due to a double-lumen endobronchial tube. Institution of veno-venous extracorporeal membrane oxygenation allowed removal of the endobronchial tube, and the repair was successfully performed. We hope that this information can provide further insight into the management of such a complication.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / pathology
  • Adenocarcinoma / surgery
  • Bronchi / injuries
  • Bronchi / surgery*
  • Extracorporeal Membrane Oxygenation / methods*
  • Female
  • Follow-Up Studies
  • Humans
  • Intraoperative Complications / therapy*
  • Intubation, Intratracheal / adverse effects*
  • Intubation, Intratracheal / instrumentation
  • Lung Neoplasms / pathology
  • Lung Neoplasms / surgery
  • Middle Aged
  • Neoplasm Staging
  • Pneumonectomy / adverse effects*
  • Pneumonectomy / methods
  • Risk Assessment
  • Rupture / etiology
  • Rupture / therapy
  • Treatment Outcome