Flexible bronchoscopic excision of a tracheal mass under extracorporeal membrane oxygenation.
Tracheal tumor is a rare but life-threatening condition that can cause obstruction of the airway. Management of tracheal tumors is very challenging and includes surgical resection, radiotherapy, and therapeutic bronchoscopy. Herein, we present a very rare case of an 88-year-old female patient with a tracheal mass due to direct invasion of a mediastinal teratoma. We devised a new method for resection of the tracheal mass because management of her airway and the tracheal mass by conventional methods was impossible. We successfully resected the tracheal mass with flexible bronchoscopic electrocautery under extracorporeal membrane oxygenation (ECMO) without any complications. When management of a patient's airway and tracheal mass are impossible by conventional methods, this technique may be very useful.
1 Department of Thoracic and Cardiovascular Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, the Catholic University of Korea, Seoul, South Korea ; 2 Department of Thoracic and Cardiovascular Surgery, St. Paul's Hospital, College of Medicine, the Catholic University of Korea, Seoul, South Korea.
Jae Jun
JJ
Kim
1 Department of Thoracic and Cardiovascular Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, the Catholic University of Korea, Seoul, South Korea ; 2 Department of Thoracic and Cardiovascular Surgery, St. Paul's Hospital, College of Medicine, the Catholic University of Korea, Seoul, South Korea.
Seok Whan
SW
Moon
1 Department of Thoracic and Cardiovascular Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, the Catholic University of Korea, Seoul, South Korea ; 2 Department of Thoracic and Cardiovascular Surgery, St. Paul's Hospital, College of Medicine, the Catholic University of Korea, Seoul, South Korea.
Yong Hwan
YH
Kim
1 Department of Thoracic and Cardiovascular Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, the Catholic University of Korea, Seoul, South Korea ; 2 Department of Thoracic and Cardiovascular Surgery, St. Paul's Hospital, College of Medicine, the Catholic University of Korea, Seoul, South Korea.
Si Young
SY
Choi
1 Department of Thoracic and Cardiovascular Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, the Catholic University of Korea, Seoul, South Korea ; 2 Department of Thoracic and Cardiovascular Surgery, St. Paul's Hospital, College of Medicine, the Catholic University of Korea, Seoul, South Korea.
Seong Cheol
SC
Jeong
Tracheal mass; bronchoscopy; extracorporeal membrane oxygenation (ECMO)