Awake Thoracic Surgery with Extracorporeal Membrane Oxygenation

Download Citation in txt Download Citation in bib Download Citation in ris

Author Info

Alexander Kersten Jan Spillner Sebastian Kalverkamp Vasileios Drosos

Corresponding Author

Vasileios Drosos
Department of Thoracic and Cardiovascular Surgery, RWTH Aachen University Hospital, Aachen, Germany

A B S T R A C T

A 75-year old patient with a right sided secondary pneumothorax and prolonged air leak showed upper lobe predominant bullous emphysema. Due to the patients extremely reduced general condition neither an open approach nor a thoracoscopic approach seemed possible. Hence, we performed an awake lung volume reduction surgery with perioperative single site veno-venous extracorporeal membrane oxygenation. No heparin was administered. The extracorporeal membrane oxygenation (ECMO) could be weaned up to the second postoperative day. The further postoperative course was uneventful. This current case suggests that combining awake surgery with extracorporeal membrane oxygenation could be a future concept in extremely compromised patients.

Article Info

Article Type

Case Study

Publication history

Received: Fri 14, Feb 2020
Accepted: Fri 06, Mar 2020
Published: Mon 16, Mar 2020

Copyright

© 2023 Vasileios Drosos. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2020.02.15