Intraoperative endobronchial tube displacement requiring unplanned extracorporeal circulation support.
We describe the adoption of extracorporeal circulation (ECC) as temporary pulmonary support in a patient operated on for a broncho-pleural fistula. Complex thoracic surgical procedures can require one-lung ventilation with double-lumen or selective bronchial tubes. Intraoperative tube displacement can cause severe desaturation and hypoxia, finally resulting in severe cerebral or multiorgan damages. Cardiopulmonary bypass, being able to temporarily take over the gas exchange function of the lung, is the only chance to support pulmonary function in cases such as this one. We suggest performing complex thoracic surgical procedures in centers with the availability and experience of ECC techniques.
Botta
Luca
L
Cardiac Surgery Department, University of Bologna, Policlinico S. Orsola-Malpighi, Bologna, Italy. allucbot@tiscali.it
Bruins
Peter
P
van Muiswinkel
Krijn W
KW
D'Andrea
Alessandra
A
Di Bartolomeo
Roberto
R
Yilmaz
Alaaddin
A
D001983:Bronchial Fistula / Q000150:complications / Q000601:surgery; D002315:Cardiopulmonary Bypass; D006801:Humans; D007431:Intraoperative Complications; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D010995:Pleural Diseases / Q000150:complications / Q000601:surgery; D013510:Pulmonary Surgical Procedures / Q000009:adverse effects*; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy*