- Case report
- Open Access
- Open Peer Review
Extra corporal membrane oxygenation in general thoracic surgery: a new single veno-venous cannulation
© Souilamas et al; licensee BioMed Central Ltd. 2011
- Received: 12 December 2010
- Accepted: 14 April 2011
- Published: 14 April 2011
Extracorporeal membrane oxygenation (ECMO) is used in severe respiratory failure to maintain adequate gas exchange. So far, this technique has not been commonly used in general thoracic surgery. We present a case using ECMO for peri-operative airway management for pulmonary resection, using a novel single-site, internal jugular, veno-venous ECMO cannula.
- Papillary Thyroid Carcinoma
- Pulmonary Resection
- ECMO Support
- Severe Respiratory Failure
- Extra Corporal Membrane Oxygenation
Lung transplantation was discussed but the patient was not listed because she did not have respiratory end-stage disease. A multidisciplinary decision was made to proceed with pulmonary resection under peri-operative VV-ECMO support with the Avalon cannula. This strategy made it possible to cease lung ventilation during surgery and created an option to bridge the patient to transplantation in case of postoperative respiratory failure. Pre-lung transplant evaluation was carried out before surgery.
The double-lumen jugular Avalon catheter (23F) was connected to a heparin-coated ECMO circuit consisting of a rotary pump and a polymethylpentene oxygenator. A 3.0 liters/min blood flow was easily achieved allowing sufficient O2and CO2transfers. The patient underwent uneventful segmentectomy and was extubated at the end of surgery. ECMO support weaned off after achieving satisfactory gas exchange 12 hours post-operatively. The 10 months follow up was satisfactory. FEV1 predicted was 38%. without recurrence of haemoptysis.
Written informed consent was obtained from the patient for publication of this case report and accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.
Sylvain Tuaudé, I.S.T CARDIOLOGY for his technical support.
ABCF 2 Foundation for its support.
Martine Chauffeté, Paris-Descartes University Medical School for the English revision manuscript.
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