title: Extracorporeal membrane oxygenation in the management of post-pneumonectomy air leak and adult respiratory distress syndrome of the non-operated lung.
abstract: Post-pneumonectomy air leak and severe respiratory failure of the non-operated lung is considered to be a life-threatening complication of lung surgery. We present the case report of a 68-year-old man who underwent a right pneumonectomy for spinocellular carcinoma. Refractory respiratory failure occurred following bronchial stump air leakage and adult respiratory distress syndrome (ARDS) of the non-operated lung. Established veno-venous extracorporeal membrane oxygenation (VV ECMO) was utilized to maintain tissue oxygenation while re-do surgery was performed. The leaking bronchial stump was closed with an azygos vein patch and, subsequently, weaning off ECMO was accomplished 7 days later. The patient fully recovered and he is limited only by mild exertional dyspnea at 24 months follow-up after the initial surgery.
authors.affiliation: 1 1st Department of Surgery, University Hospital Olomouc, Olomouc, Czech Republic.
authors.forename: Szkorupa
authors.initials: S
authors.lastname: Marek
authors.affiliation: 2 Department of Cardiac Surgery, University Hospital Olomouc, Olomouc, Czech Republic.
authors.forename: Simek
authors.initials: S
authors.lastname: Martin
authors.affiliation: 2 Department of Cardiac Surgery, University Hospital Olomouc, Olomouc, Czech Republic.
authors.forename: Zuscich
authors.initials: Z
authors.lastname: Ondrej
authors.affiliation: 1 1st Department of Surgery, University Hospital Olomouc, Olomouc, Czech Republic.
authors.forename: Chudacek
authors.initials: C
authors.lastname: Josef
authors.affiliation: 1 1st Department of Surgery, University Hospital Olomouc, Olomouc, Czech Republic.
authors.forename: Neoral
authors.initials: N
authors.lastname: Cestmir
authors.affiliation: 2 Department of Cardiac Surgery, University Hospital Olomouc, Olomouc, Czech Republic.
authors.forename: Lonsky
authors.initials: L
authors.lastname: Vladimir
mesh_terms: D000368:Aged; D015199:Extracorporeal Membrane Oxygenation; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D011013:Pneumonectomy / Q000009:adverse effects*; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy; D012128:Respiratory Distress Syndrome / Q000209:etiology / Q000628:therapy
keywords: ARDS; ECMO; air leak; pneumonectomy