Veno-Venous Extracorporeal Membrane Oxygenation in Surgery for Bronchial Repair

• Published in: The Annals of thoracic surgery Vol. 86; no. 4; pp. 1348 - 1349
• Main Authors: Korvenoja, Pekka, MD, Pitkänen, Otto, MD, PhD, Berg, Ensio, MD, Berg, Leena, MD, PhD
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.10.2008; Elsevier Science
• Subjects: Adenocarcinoma - pathology; Adenocarcinoma - surgery; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Biological and medical sciences; Bronchi - injuries; Bronchi - surgery; Cardiology. Vascular system; Cardiothoracic 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; Medical sciences; Middle Aged; Neoplasm Staging; Pneumology; Pneumonectomy - adverse effects; Pneumonectomy - methods; Risk Assessment; Rupture - etiology; Rupture - therapy; Surgery; Treatment Outcome; 27; Corrective surgery; Treatment; Bronchus; Anesthesia; Membrane; Circulatory system; Cardiology; Oxygenation; Repair; Vein
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/j.athoracsur.2008.04.018

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.