Ecmo-assisted carinal resection and reconstruction after left pneumonectomy

Jie Lei,Xiao P Wang,Yong Han,Li J Huang,Kai Su,Yong A Zhou,Xiao F Li

doi:10.1186/1749-8090-5-89

Jie Lei, Xiao P Wang + Show 5 more

Open Access

https://doi.org/10.1186/1749-8090-5-89

Copy DOI

Abstract

Extracorporeal Membrane Oxygenation (ECMO) has become an increasingly important technique for patients with respiratory or cardiac failure for a variety of causes. In addition, there are many reports about the use of ECMO in surgical operation on neonates and children patients with tracheal obstruction. In this report we present a case about an adult patient who underwent a carinal resection and reconstruction after left pneumonectomy with ECMO assistance successfully. To our knowledge, this case is the first of its kind to use ECMO in adult carinal resection and reconstruction after pneumonectomy. In this report, we try to illustrate that ECMO is effective in operations of this kind.

Highlights

Extracorporeal membrane oxygenation (ECMO), a form of artificial circulatory support, is currently being used in ICUs worldwide to support patients with respiratory or cardiac failure who are unresponsive to conventional therapeutic interventions, but it hardly ever used as auxiliary implement to lung cancer surgery, especially in the secondary surgery
Lung cancer recur and metachoresis to the bronchial stump is a life-threatening circumstance after pneumonectomy, carrying high mortality, and conventional treatment strategies for it were thought to provoke a high risk, because the general condition of the patient is usually poor, his chemosensitivity or radiosensitivity is low, and the contralateral main bronchus is the only gallery for life
Which is routinely used in cardiac surgery [1], to assist the carinal resection and reconstruction after left pneumonectomy

Summary

Introduction

Extracorporeal membrane oxygenation (ECMO), a form of artificial circulatory support, is currently being used in ICUs worldwide to support patients with respiratory or cardiac failure who are unresponsive to conventional therapeutic interventions, but it hardly ever used as auxiliary implement to lung cancer surgery, especially in the secondary surgery. A Case Presentation A 55-year-old man presented himself complaining of intermittent hemoptysis and short breath for two week. His medical history included squamous cell lung cancer of the left main stem bronchus involving the inferior lobe orifice, treated with left pneumonectomy and chemotherapy nearly ten months prior to coming to us. Upon arrival at our clinic, bronchoscopic findings showed the left main bronchial stump was filled with blood and the mucous membrane of it was rough (Figure 1). Cephalosome, chest and abdomen computed tomography showed nothing noteworthy (Figure 2). He was initially to be referred to receiving

Objectives

Conclusion