title: Lung Volume Reduction Surgery on Extracorporeal Life Support.
abstract: Lung volume reduction surgery improves exercise tolerance, lung function, and quality of life for selected patients with emphysema. Lung volume reduction surgery is well established for patients in a highly elective setting. It is, however, contraindicated in cases of acute cardiorespiratory failure. We present the case of a patient with severe emphysema who had acute respiratory failure and decompensated cor pulmonale requiring life-saving venovenoarterial extracorporeal life support after admission to the emergency unit. He underwent lung volume reduction surgery with intent to wean from extracorporeal life support. He had complete functional recovery after 4 months.
authors.affiliation: Department of Thoracic Surgery, University Hospital Zurich, Zurich, Switzerland.
authors.forename: Stefanos
authors.initials: S
authors.lastname: Tzafos
authors.affiliation: Department of Thoracic Surgery, University Hospital Zurich, Zurich, Switzerland.
authors.forename: Stéphane
authors.initials: S
authors.lastname: Collaud
authors.affiliation: Clinic for Cardiovascular Surgery, University Hospital Zurich, Zurich, Switzerland.
authors.forename: Markus
authors.initials: M
authors.lastname: Wilhelm
authors.affiliation: Stadtspital Waid, Zurich, Switzerland.
authors.forename: Stephan
authors.initials: S
authors.lastname: Wieser
authors.affiliation: Department of Thoracic Surgery, University Hospital Zurich, Zurich, Switzerland.
authors.forename: Walter
authors.initials: W
authors.lastname: Weder
authors.affiliation: Department of Thoracic Surgery, University Hospital Zurich, Zurich, Switzerland. Electronic address: ilhan.inci@usz.ch.
authors.forename: Ilhan
authors.initials: I
authors.lastname: Inci
mesh_terms: D000328:Adult; D001784:Blood Gas Analysis; D003131:Combined Modality Therapy; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011013:Pneumonectomy / Q000379:methods*; D011656:Pulmonary Emphysema / Q000175:diagnosis* / Q000628:therapy*; D020127:Recovery of Function; D012129:Respiratory Function Tests; D012131:Respiratory Insufficiency / Q000175:diagnosis / Q000209:etiology; D018570:Risk Assessment; D013997:Time Factors; D016896:Treatment Outcome