ECMO for Acute Respiratory Distress Syndrome After Thoracoabdominal Aortic Aneurysm Repair

Ann Thorac Surg. 2018 Oct;106(4):e171-e172. doi: 10.1016/j.athoracsur.2018.04.045.

Abstract

Acute respiratory distress syndrome (ARDS) after thoracoabdominal aortic aneurysm (TAAA) repair poses a formidable challenge. Despite conventional maneuvers in the operating room, perioperative ARDS may require extracorporeal membrane oxygenation (ECMO). We present three cases of successful ECMO for ARDS after TAAA repair and discuss management of anticoagulation and cerebrospinal fluid drains. Our experience suggests that ECMO is reasonable in selected patients after TAAA repair.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aortic Aneurysm, Thoracic / surgery*
  • Extracorporeal Membrane Oxygenation / methods*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Postoperative Complications
  • Respiratory Distress Syndrome, Adult / etiology
  • Respiratory Distress Syndrome, Adult / therapy*
  • Vascular Surgical Procedures / adverse effects*