Extracorporeal oxygenation support for curative surgery in a patient with papillary thyroid carcinoma invading the trachea.
OBJECTIVE
Local extension of thyroid carcinoma can result in massive invasion of the trachea, causing severe airway compromise. The pre- and peri-operative management of such airway compromise is difficult but critical. We report the use of extracorporeal oxygenation support as an alternative peri-operative airway management option in such a situation. This approach facilitated curative surgery in a patient with papillary thyroid carcinoma invading the trachea.


METHODS
We present a case report regarding extracorporeal oxygenation support in a patient with locally advanced thyroid carcinoma.


RESULTS
The patient was a 68-year-old woman with aggressive thyroid papillary carcinoma invading the trachea. The airway was almost totally obstructed, and tracheal resection and end-to-end anastomosis was planned. A venovenous bypass catheter was placed for cardiopulmonary bypass, using the bilateral femoral veins. Curative surgery and reconstruction were then performed successfully, under general anaesthesia assisted by cardiopulmonary bypass oxygenation.


CONCLUSIONS
Cardiopulmonary bypass oxygenation is a safe and effective alternative airway management option in patients with locally aggressive thyroid cancer.
Jeon
H-K
HK
Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
So
Y K
YK
Yang
J-H
JH
Jeong
H-S
HS
D000368:Aged; D002291:Carcinoma, Papillary / Q000473:pathology* / Q000601:surgery; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D005260:Female; D006801:Humans; D009361:Neoplasm Invasiveness; D013964:Thyroid Neoplasms / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014134:Tracheal Neoplasms / Q000473:pathology*