Carinal reconstruction under veno-venous bypass using a percutaneous cardiopulmonary bypass system.
We report two patients who underwent carinal resection and reconstruction for advanced lung cancer under veno-venous bypass. The bypass system consisted of a centrifugal pump and a hollow-fiber membrane oxygenator, and was established by percutaneous insertion of cannulas through the femoral veins using the Seldinger technique. This respiratory support system under veno-venous bypass was safe and useful for carinal reconstruction, providing a good visual field and adequate oxygenation. Although other standard accepted ventilation techniques can be used for carinal resection, veno-venous bypass is an alternative adjunct in cases involving difficult carinal reconstruction.
Horita
K
K
Department of Thoracic and Cardiovascular Surgery, Saga Medical School, Japan.
Itoh
T
T
Furukawa
K
K
Katayama
Y
Y
Ohnishi
H
H
Natsuaki
M
M
D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D002315:Cardiopulmonary Bypass / Q000295:instrumentation / Q000379:methods; D015199:Extracorporeal Membrane Oxygenation / Q000295:instrumentation / Q000379:methods; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000295:instrumentation / Q000379:methods*; D014132:Trachea / Q000601:surgery