title: Severe acute extrinsic airway compression by mediastinal tumor successfully managed with extracorporeal membrane oxygenation.
abstract: 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.
authors.affiliation: Department of Surgery, The University of Pennsylvania Medical Center and School of Medicine, Philadelphia, USA.
authors.forename: A S
authors.initials: AS
authors.lastname: Stewart
authors.forename: W R
authors.initials: WR
authors.lastname: Smythe
authors.forename: S
authors.initials: S
authors.lastname: Aukburg
authors.forename: L R
authors.initials: LR
authors.lastname: Kaiser
authors.forename: K R
authors.initials: KR
authors.lastname: Fox
authors.forename: J E
authors.initials: JE
authors.lastname: Bavaria
mesh_terms: 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