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Ann Thorac Surg 2008;86:1348-1349. doi:10.1016/j.athoracsur.2008.04.018
© 2008 The Society of Thoracic Surgeons

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Case Reports

Veno-Venous Extracorporeal Membrane Oxygenation in Surgery for Bronchial Repair

Pekka Korvenoja, MDa,*, Otto Pitkänen, MD, PhDa, Ensio Berg, MDb, Leena Berg, MD, PhDc

a Department of Anesthesiology and Intensive Care, Kuopio University Hospital, Kuopio, Finland
b Department of Cardiothoracic Surgery, Kuopio University Hospital, Kuopio, Finland
c Department of Plastic Surgery, Kuopio University Hospital, Kuopio, Finland

Accepted for publication April 7, 2008.

* Address correspondence to Dr Korvenoja, Kuopio University Hospital, Puijonlaaksontie 2. Kuopio, 70210, Finland (Email: pekka.korvenoja{at}kuh.fi).

Single-lung ventilation using a double-lumen endobronchial tube is often performed for surgical procedures involving the thorax. Tracheobronchial rupture during use of an endobronchial tube is an uncommon and serious complication. We present the case of a patient undergoing a right pneumonectomy who experienced a bronchial rupture due to a double-lumen endobronchial tube. Institution of veno-venous extracorporeal membrane oxygenation allowed removal of the endobronchial tube, and the repair was successfully performed. We hope that this information can provide further insight into the management of such a complication.







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