title: Elective Thoracoscopic Maze with Venoarterial Extracorporeal Life Support.
abstract: This case report describes the intraoperative use of extracorporeal life support (ECLS) for an elective thoracoscopic maze procedure in which the patient could not tolerate one-lung ventilation because of hypoxia. Potential pitfalls associated with the anesthetic management of elective intraoperative ECLS include managing native cardiac ejection and ECLS flows to provide optimal oxygenation and cardiac output. Particular attention must be paid to cardiac and respiratory physiology when ECLS is used in a patient with normal cardiac function.
authors: From the Department of *Anesthesiology and †Surgery, The Ohio State University, Columbus, Ohio.
authors: Erica J
authors: EJ
authors: Stein
authors: Abram
authors: A
authors: Elsenraat
authors: John H
authors: JH
authors: Sirak
authors: David
authors: D
authors: Mast
authors: Mark
authors: M
authors: Gerhardt
mesh_terms: D000368:Aged; D001281:Atrial Fibrillation / Q000150:complications / Q000601:surgery*; D002302:Cardiac Output; D017115:Catheter Ablation / Q000379:methods*; D017558:Elective Surgical Procedures; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D006801:Humans; D000860:Hypoxia / Q000209:etiology; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D061810:One-Lung Ventilation / Q000009:adverse effects; D010100:Oxygen / Q000097:blood; D012131:Respiratory Insufficiency / Q000097:blood / Q000628:therapy; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*
chemical_list: D010100:Oxygen