Intraoperative venovenous extracorporeal membrane oxygenation to repair a complex bronchoesophageal fistula

ABSTRACT

Extracorporeal membrane oxygenation (ECMO) is used as a rescue therapy in severe ARDS. We propose its use as a bridge therapy for surgical repair of complex tracheobronchial fistulas. We report the case of a 56-year-old man with tracheoesophageal fistula after esophagectomy. The defect in the left main bronchus was repaired with a vascularized plasty of the dorsal muscle but the patient could not be extubated immediately. As a result, the plasty migrated and required emergency surgery, this time under ECMO support, to ensure full ventilatory support and protection of the plasty until the sutures had scarred

RESUMEN

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