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Ann Thorac Surg 2004;78:335-337
© 2004 The Society of Thoracic Surgeons

Case report

Successful therapy of severe pneumonia-associated ARDS after pneumonectomy with ECMO and steroids

Martin Dünser, MDa, Walter Hasibeder, MDa, Michael Rieger, MDb, Andreas J. Mayr, MDa*

a Division of General and Surgical Intensive Care Medicine, Departments of Anesthesia and Critical Care Medicine, Leopold-Franzens-University of Innsbruck, Innsbruck, Austria
b Radiology, Leopold-Franzens-University of Innsbruck, Innsbruck, Austria

Accepted for publication June 13, 2003.

* Address reprint requests to Dr Mayr, Division of General and Surgical Intensive Care Medicine, Department of Anesthesia and Critical Care Medicine, Leopold-Franzens-University of Innsbruck, Anichstrasse 35, 6020 Innsbruck, Austria
e-mail: andreas.j.mayr{at}uibk.ac.at

Pneumonia and acute respiratory distress syndrome are life-threatening complications after pneumonectomy carrying high mortality. Because pulmonary reserve is inadequately low, an effective therapeutic strategy is needed to treat hypoxia. Extracorporeal membrane oxygenation is a highly effective method to reverse hypoxia in patients with acute respiratory distress syndrome, but has only once been described in a patient with postpneumonectomy pulmonary edema. We report a case of successful extracorporeal membrane oxygenation therapy in a patient with pneumonia-associated acute respiratory distress syndrome after pneumonectomy. Methylprednisolone therapy caused a dramatic improvement of pulmonary and systemic organ function.




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