Extracorporeal membrane oxygenation in the management of post-pneumonectomy air leak and adult respiratory distress syndrome of the non-operated lung. (July 2017)

• Record Type: Journal Article
• Authors: Marek, Szkorupa; Martin, Simek; Ondrej, Zuscich; Josef, Chudacek; Cestmir, Neoral; Vladimir, Lonsky
• Is Part Of: Perfusion. Volume 32:Number 5(2017)
• Page Start: 416
• Page End: 418
• Publication Date: 2017-07
• Subjects: pneumonectomy -- air leak -- ARDS -- ECMO; Perfusion (Physiology) -- Periodicals; Blood -- Circulation, Artificial -- Periodicals; Heart -- Surgery -- Periodicals; Extracorporeal Circulation -- Periodicals; Perfusion -- Periodicals; Circulation extracorporelle -- Périodiques; Perfusion -- Périodiques; 617.41
• DOI: 10.1177/0267659117690247
• Languages: English
• ISSNs: 0267-6591

Abstract

Post-pneumonectomy air leak and severe respiratory failure of the non-operated lung is considered to be a life-threatening complication of lung surgery. We present the case report of a 68-year-old man who underwent a right pneumonectomy for spinocellular carcinoma. Refractory respiratory failure occurred following bronchial stump air leakage and adult respiratory distress syndrome (ARDS) of the non-operated lung. Established veno-venous extracorporeal membrane oxygenation (VV ECMO) was utilized to maintain tissue oxygenation while re-do surgery was performed. The leaking bronchial stump was closed with an azygos vein patch and, subsequently, weaning off ECMO was accomplished 7 days later. The patient fully recovered and he is limited only by mild exertional dyspnea at 24 months follow-up after the initial surgery.