Severe acute extrinsic airway compression by mediastinal tumor successfully managed with extracorporeal membrane oxygenation.
The successful use of femoral venoarterial extracorporeal membrane oxygenation to support an adult patient with extrinsic airway compression secondary to a large mediastinal tumor is presented. Extracorporeal membrane oxygenation was continued until a combination of chemotherapy and radiation therapy allowed sufficient tumor shrinkage to permit decannulation. This method should be considered and available before manipulation of the airway in similar patients.
Stewart
A S
AS
Department of Surgery, The University of Pennsylvania Medical Center and School of Medicine, Philadelphia, USA.
Smythe
W R
WR
Aukburg
S
S
Kaiser
L R
LR
Fox
K R
KR
Bavaria
J E
JE
D000328:Adult; D000402:Airway Obstruction / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D003131:Combined Modality Therapy; D015199:Extracorporeal Membrane Oxygenation; D006801:Humans; D008297:Male; D008479:Mediastinal Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome