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Acquired tracheomalacia due to aortic aneurysm managed with venopulmonary extracorporeal membrane oxygenation for perioperative support

Extracorporeal membrane oxygenation (ECMO) has diverse applications. In the present report, we have described a case of tracheomalacia from a thoracic aortic aneurysm causing respiratory failure. Total arch replacement with reverse frozen elephant trunk grafting was performed. Perioperative ECMO sup...

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Autores principales: Carlson, Samuel F., Smith, Nathan J., Joyce, Lyle D., Joyce, David L., Rossi, Peter J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8564725/
https://www.ncbi.nlm.nih.gov/pubmed/34754999
http://dx.doi.org/10.1016/j.jvscit.2021.09.004
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author Carlson, Samuel F.
Smith, Nathan J.
Joyce, Lyle D.
Joyce, David L.
Rossi, Peter J.
author_facet Carlson, Samuel F.
Smith, Nathan J.
Joyce, Lyle D.
Joyce, David L.
Rossi, Peter J.
author_sort Carlson, Samuel F.
collection PubMed
description Extracorporeal membrane oxygenation (ECMO) has diverse applications. In the present report, we have described a case of tracheomalacia from a thoracic aortic aneurysm causing respiratory failure. Total arch replacement with reverse frozen elephant trunk grafting was performed. Perioperative ECMO support was accomplished with venopulmonary artery ECMO. This strategy allowed for preoperative oxygenation support, venous drainage during cardiopulmonary bypass, and postoperative support without cannula exchanges. Our patient required ECMO support for 12 days postoperatively. We have illustrated a unique case of acquired tracheomalacia but also an ECMO cannulation strategy allowing for preoperative oxygenation, seamless transition to cardiopulmonary bypass, and postoperative support.
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spelling pubmed-85647252021-11-08 Acquired tracheomalacia due to aortic aneurysm managed with venopulmonary extracorporeal membrane oxygenation for perioperative support Carlson, Samuel F. Smith, Nathan J. Joyce, Lyle D. Joyce, David L. Rossi, Peter J. J Vasc Surg Cases Innov Tech Case report Extracorporeal membrane oxygenation (ECMO) has diverse applications. In the present report, we have described a case of tracheomalacia from a thoracic aortic aneurysm causing respiratory failure. Total arch replacement with reverse frozen elephant trunk grafting was performed. Perioperative ECMO support was accomplished with venopulmonary artery ECMO. This strategy allowed for preoperative oxygenation support, venous drainage during cardiopulmonary bypass, and postoperative support without cannula exchanges. Our patient required ECMO support for 12 days postoperatively. We have illustrated a unique case of acquired tracheomalacia but also an ECMO cannulation strategy allowing for preoperative oxygenation, seamless transition to cardiopulmonary bypass, and postoperative support. Elsevier 2021-10-02 /pmc/articles/PMC8564725/ /pubmed/34754999 http://dx.doi.org/10.1016/j.jvscit.2021.09.004 Text en © 2021 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case report
Carlson, Samuel F.
Smith, Nathan J.
Joyce, Lyle D.
Joyce, David L.
Rossi, Peter J.
Acquired tracheomalacia due to aortic aneurysm managed with venopulmonary extracorporeal membrane oxygenation for perioperative support
title Acquired tracheomalacia due to aortic aneurysm managed with venopulmonary extracorporeal membrane oxygenation for perioperative support
title_full Acquired tracheomalacia due to aortic aneurysm managed with venopulmonary extracorporeal membrane oxygenation for perioperative support
title_fullStr Acquired tracheomalacia due to aortic aneurysm managed with venopulmonary extracorporeal membrane oxygenation for perioperative support
title_full_unstemmed Acquired tracheomalacia due to aortic aneurysm managed with venopulmonary extracorporeal membrane oxygenation for perioperative support
title_short Acquired tracheomalacia due to aortic aneurysm managed with venopulmonary extracorporeal membrane oxygenation for perioperative support
title_sort acquired tracheomalacia due to aortic aneurysm managed with venopulmonary extracorporeal membrane oxygenation for perioperative support
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8564725/
https://www.ncbi.nlm.nih.gov/pubmed/34754999
http://dx.doi.org/10.1016/j.jvscit.2021.09.004
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