Pneumonectomy following penetrating trauma with ECMO as postoperative support: case report - (Lung trauma and ECMO).
J Cardiothorac Surg
; 19(1): 445, 2024 Jul 15.
Article
em En
| MEDLINE
| ID: mdl-39004745
ABSTRACT
BACKGROUND:
Penetrating thoracic injuries have a significant risk of morbi-mortality. Despite the advancements in damage control methods, a subset of patients with severe pulmonary vascular lesions and bronchial injuries persists. In some of these cases, post-traumatic pneumonectomy is required, and perioperative extracorporeal membrane oxygenation (ECMO) support may be required due to right ventricular failure and respiratory failure. CASE DESCRIPTION A male was brought to the emergency department (ED) with a penetrating thoracic injury, presenting with massive right hemothorax and active bleeding that required ligation of the right pulmonary hilum to control the bleeding. Subsequently, he developed right ventricular dysfunction and ARDS, necessitating a dynamic hybrid ECMO configuration to support his condition and facilitate recovery.CONCLUSIONS:
Penetrating thoracic injuries with severe pulmonary vascular lesions may need pneumonectomy to control bleeding. ECMO support reduces the associated mortality by decreasing the complications rate. A multidisciplinary team is essential to achieve good outcomes in severe compromised patients.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Pneumonectomia
/
Oxigenação por Membrana Extracorpórea
Limite:
Adult
/
Humans
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Male
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article