Venopulmonary artery extracorporeal lung assist in repair of traumatic aortic injury via left thoracotomy. Issue 12 (12th October 2020)

• Record Type: Journal Article
• Authors: Ito, Hisato; Bessho, Saki; Yamamoto, Naoki; Hirano, Koji; Shomura, Yu; Takao, Motoshi
• Is Part Of: Journal of cardiac surgery. Volume 35:Issue 12(2020)
• Page Start: 3575
• Page End: 3577
• Publication Date: 2020-10-12
• Subjects: aorta and great vessels -- extracorporeal lung assist -- left thoracotomy -- perfusion -- traumatic aortic injury; Heart -- Surgery -- Periodicals; 617.412005
• DOI: 10.1111/jocs.14904
• Languages: English
• ISSNs: 0886-0440

Abstract

Abstract: An urgent surgery was performed for a 28‐year‐old man who sustained a traumatic descending thoracic aortic injury in an automobile collision. Severe respiratory failure was encountered during surgery, which did not allow for single‐lung ventilation for adequate exposure of the descending aorta. We used venopulmonary artery extracorporeal lung assist by main pulmonary artery cannulation with concurrent distal aortic perfusion using a single centrifugal pump. Cannulating the easily accessible main pulmonary artery for venopulmonary artery extracorporeal lung assist is a safe and feasible technique in patients complicated with profound respiratory failure undergoing aortic surgery via left thoracotomy.