title: Perioperative Extracorporeal Membrane Oxygenation to Facilitate Lung Resection After Contralateral Pneumonectomy.
abstract: A 75-year-old man previously underwent pneumonectomy for lung cancer. He subsequently had colorectal adenocarcinoma, and resection of metastases from his remaining lung was performed. Venovenous extracorporeal membrane oxygenation was used for perioperative respiratory support to facilitate intraoperative deflation of the remaining lung and optimization of the surgical field. Venovenous extracorporeal membrane oxygenation was continued postoperatively, allowing immediate extubation, thus avoiding strain on suture lines. Advantages, and potential risks, of venovenous extracorporeal membrane oxygenation for thoracic surgery are discussed.
authors.affiliation: Department of Critical Care and Severe Respiratory Failure Service, Guy's and St. Thomas' NHS Foundation Trust, London, United Kingdom. Electronic address: stuart.gillon@nhs.net.
authors.forename: Stuart A
authors.initials: SA
authors.lastname: Gillon
authors.affiliation: Department of Thoracic Surgery, Guy's and St. Thomas' NHS Foundation Trust, London, United Kingdom.
authors.forename: Levon
authors.initials: L
authors.lastname: Toufektzian
authors.affiliation: Department of Thoracic Surgery, Guy's and St. Thomas' NHS Foundation Trust, London, United Kingdom.
authors.forename: Karen
authors.initials: K
authors.lastname: Harrison-Phipps
authors.affiliation: Department of Cardiothoracic Anesthesia, Guy's and St. Thomas' NHS Foundation Trust, London, United Kingdom.
authors.forename: Madhusudan
authors.initials: M
authors.lastname: Puchakayala
authors.affiliation: Department of Critical Care and Severe Respiratory Failure Service, Guy's and St. Thomas' NHS Foundation Trust, London, United Kingdom.
authors.forename: Kathleen
authors.initials: K
authors.lastname: Daly
authors.affiliation: Department of Critical Care and Severe Respiratory Failure Service, Guy's and St. Thomas' NHS Foundation Trust, London, United Kingdom.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Ioannou
authors.affiliation: Department of Critical Care and Severe Respiratory Failure Service, Guy's and St. Thomas' NHS Foundation Trust, London, United Kingdom.
authors.forename: Christopher I S
authors.initials: CI
authors.lastname: Meadows
authors.affiliation: Department of Critical Care and Severe Respiratory Failure Service, Guy's and St. Thomas' NHS Foundation Trust, London, United Kingdom.
authors.forename: Duncan L A
authors.initials: DL
authors.lastname: Wyncoll
authors.affiliation: Department of Critical Care and Severe Respiratory Failure Service, Guy's and St. Thomas' NHS Foundation Trust, London, United Kingdom.
authors.forename: Nicholas A
authors.initials: NA
authors.lastname: Barrett
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis / Q000556:secondary / Q000601:surgery*; D000368:Aged; D015179:Colorectal Neoplasms / Q000473:pathology*; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis / Q000556:secondary / Q000601:surgery*; D008297:Male; D019990:Perioperative Care / Q000379:methods*; D011013:Pneumonectomy / Q000379:methods*; D012086:Reoperation; D014057:Tomography, X-Ray Computed