title: [Perioperative management for primary tracheal malignant tumors resected under cardiopulmonary bypass].
abstract: OBJECTIVE
  To retrospectively review the perioperative management for primary tracheal malignant tumors resected under cardiopulmonary bypass.
  
  
  METHODS
  The data of 6 patients with primary tracheal malignant tumors who underwent surgery under cardiopulmonary bypass from December 1999 to August 2003 were reviewed. Cardiopulmonary bypass was established through right femoral vessels in 2 patients for emergency operation, through right atrium and ascending aorta in 4 patients. Sleeve tracheal resections in 3 patients, carinal resections and carina reconstructions in 2, and local enucleation in 1 were performed. Respiratory airway was kept patent by coughing and expectorating sputum.
  
  
  RESULTS
  All patients' dyspnea were relieved remarkably. The postoperative mechanic ventilation assistance lasted from 10 hours to 7 days. There was no perioperative mortality.
  
  
  CONCLUSIONS
  Resection of primary tracheal malignant tumors with severe tracheal obstruction under cardiopulmonary bypass is practicable. Keeping respiratory airway patent perioperatively is very important and helpful to postoperative recovery.
authors.affiliation: Department of Cardiovascular Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China. duzhenzong@sina.com
authors.forename: Zhen-zong
authors.initials: ZZ
authors.lastname: Du
authors.forename: Hua
authors.initials: H
authors.lastname: Ren
authors.forename: Jian-fei
authors.initials: JF
authors.lastname: Song
authors.forename: Chao-ji
authors.initials: CJ
authors.lastname: Zhang
authors.forename: Hong-quan
authors.initials: HQ
authors.lastname: Yu
authors.forename: Qi
authors.initials: Q
authors.lastname: Miao
mesh_terms: D000328:Adult; D003528:Carcinoma, Adenoid Cystic / Q000503:physiopathology / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D004417:Dyspnea / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019990:Perioperative Care; D012121:Respiration, Artificial; D012189:Retrospective Studies; D014134:Tracheal Neoplasms / Q000503:physiopathology / Q000601:surgery*; D014140:Tracheotomy / Q000379:methods