Abstract
We present the use of veno-venous extracorporeal membrane oxygenation (VV-ECMO) for the surgical management of a patient with a mid-tracheal lesion complicated by a dilated aortic root and severe central aortic regurgitation resulting in left ventricular dilatation and systolic dysfunction. The utility of VV-ECMO in this situation is that the tracheal resection could be performed safely without compromising the haemodynamic status of the patient and at the same time providing a clear field for surgery. VV-ECMO has been used for endoscopic laser removal of tracheal tumours as described by Chiang et al. in Int J Gerontol 5:56–58, 7 and Smith et al. in Anesthesiology 110:427–9, 8. It has also been used for tracheal surgery and reconstruction in children by Goldman et al. in J Pediatr 128:386–88, 9. But VV-ECMO has rarely been used in tracheal resection and anastomosis in adults.
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References
Oken MM, Creech RH, Tormey DC, et al. Toxicity and response criteria of the Eastern Cooperative Oncology Group. Am J Clin Oncol. 1982;5:649–55.
Morgan E, Mikhail MS, Murray MJ. Anaesthesia for Thoracic Surgery, Clinical Anaesthesiology. 4th ed. United States: McGraw Hill;2008.
Cohen E, Neustein S, Eisenkraft J. In: Barash PG, Cullen BF, Stoelting RK, editors. Anesthesia for thoracic surgery, Clinical anesthesia. 5th ed. Philadelphia: Lippincott Williams Wilkins; 2005. p. 838–9.
Beca J, Wilcox T, Hall R. In: Sidebotham D, McKee A, Gillham M, Levy J, editors. Mechanical Cardiac Support, Cardiothoracic Critical Care. 1st ed. Philadelphia: Butterworth Heinmann Elsevier; 2007. p. 672.
Shore-Lesserson L. In: Kaplan J, editor. Coagulation Monitoring, Kaplan’s Cardiac Anesthesia. 5th ed. Philadelphia: Elsevier Saunders; 2006. p. 557.
Pillai JB, Suri RM. Coronary artery surgery and extracorporeal circulation: the search for a new standard. J CardiothoracVascAnesth. 2008;22:594–610.
Chiang Y, Ke C, Wu RS, Chen K, Shen ML, Poon KS. Endoscopic resection of tracheal tumor in an elderly woman under extracorporeal membrane oxygenation. Int J Gerontol. 2011;5:56–8.
Smith IJ, Sidebotham DA, McGeorge AD, Dorman EB, Wilsher ML, Kolbe J. Use of extracorporeal membrane oxygenation during resection of tracheal papillomatosis. Anesthesiology. 2009;110:427–9.
Goldman AP, Macrae DJ, Tasker RC, et al. Extracorporeal membrane oxygenation as a bridge to definitive tracheal surgery in children. J Pediatr. 1996;128:386–88.
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Sadasivan Nair, P., Connell, H. & Haydock, D. Use of veno-venous extra corporeal membrane oxygenation for tracheal resection in a patient with severe LV dilatation and LV systolic dysfunction in the setting of severe aortic regurgitation. Indian J Thorac Cardiovasc Surg 33, 270–272 (2017). https://doi.org/10.1007/s12055-017-0539-5
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DOI: https://doi.org/10.1007/s12055-017-0539-5