title: Extracorporeal Lung Support as a Bridge to Airway Stenting and Radiotherapy for Airway-Obstructing Pancoast Tumor.
abstract: Venovenous (V-V) extracorporeal membrane oxygenation (ECMO) is used for respiratory failure that is suspected to be reversible (bridge to recovery), or as a bridge to lung transplantation. Patients with proximal airway obstruction due to endobronchial malignancy can develop acute respiratory failure, and may benefit from V-V ECMO as a bridge to airway intervention, further treatment, and eventual recovery. We describe a case of a superior sulcus tumor with tracheobronchial and superior vena cava invasion causing both respiratory failure and superior vena cava syndrome. This was treated successfully with V-V ECMO, bronchial stenting, and radiotherapy.
authors.affiliation: Division of Cardiac Surgery, Department of Surgery, University of Maryland School of Medicine and Medical Center, Baltimore, Maryland.
authors.forename: Melissa
authors.initials: M
authors.lastname: McLenon
authors.affiliation: Division of Cardiac Surgery, Department of Surgery, University of Maryland School of Medicine and Medical Center, Baltimore, Maryland.
authors.forename: Gregory J
authors.initials: GJ
authors.lastname: Bittle
authors.affiliation: R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine and Medical Center, Baltimore, Maryland.
authors.forename: Kevin
authors.initials: K
authors.lastname: Jones
authors.affiliation: R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine and Medical Center, Baltimore, Maryland.
authors.forename: Jay
authors.initials: J
authors.lastname: Menaker
authors.affiliation: Division of Cardiac Surgery, Department of Surgery, University of Maryland School of Medicine and Medical Center, Baltimore, Maryland.
authors.forename: Si M
authors.initials: SM
authors.lastname: Pham
authors.affiliation: R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine and Medical Center, Baltimore, Maryland.
authors.forename: Aldo T
authors.initials: AT
authors.lastname: Iacono
authors.affiliation: Division of Pulmonary/Critical Care Medicine, Department of Medicine, University of Maryland School of Medicine and Medical Center, Baltimore, Maryland.
authors.forename: Ashutosh
authors.initials: A
authors.lastname: Sachdeva
authors.affiliation: Center for Advanced Heart Failure and Department of Cardiovascular Surgery, University of Texas-Houston and Memorial Hermann Hospital-Texas Medical Center, Houston, Texas. Electronic address: keshava.rajagopal@uth.tmc.edu.
authors.forename: Keshava
authors.initials: K
authors.lastname: Rajagopal
mesh_terms: D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010178:Pancoast Syndrome / Q000150:complications*; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy*; D013479:Superior Vena Cava Syndrome / Q000209:etiology / Q000628:therapy*