[Respiratory support using veno-venous ECMO during lung resection for aspergilloma].
Respiratory support using extra corporeal membrane oxygenation (ECMO) is rarely used in the setting of adult lung surgery, with the exception of lung transplantation. We report the case of a patient with pulmonary aspergilloma, for whom selective bronchial intubation was required to facilitate surgery. Intolerance to unilateral ventilation was anticipated due to poor underlying lung function. Intra-operatively, an attempt to lung exclusion was responsible for severe hypoxemia. The use of veno-venous ECMO allowed to improve oxygenation and lung resection was carried out successfully at the expense of major intra-operative bleeding.
Julien
F
F
Service d'anesthésie-réanimation, hôpital européen Georges-Pompidou, AP-HP, 20 rue Leblanc, Paris cedex 15, France.
Mosolo
A
A
Hubsch
J P
JP
Souilhamas
R
R
Safran
D
D
Cholley
B
B
D000328:Adult; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D005260:Female; D006801:Humans; D011013:Pneumonectomy; D055732:Pulmonary Aspergillosis / Q000601:surgery*