Intraoperative venovenous extracorporeal membrane oxygenation to repair a complex bronchoesophageal fistula

  1. Cobeta Orduña, P 1
  2. Ovejero Díaz, P 2
  3. Mira Betancur, A 1
  4. Priego Jiménez, P 3
  5. Moreno Mata, N 2
  1. 1 Departamento de Anestesiología. Hospital Universitario Ramón y Cajal
  2. 2 Servicio de Cirugía Torácica. Hospital Universitario Ramón y Cajal
  3. 3 Servicio de Cirugía General. Hospital Universitario Ramón y Cajal
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Revista:
Revista española de investigaciones quirúrgicas

ISSN: 1139-8264

Año de publicación: 2018

Volumen: 21

Número: 2

Páginas: 53-55

Tipo: Artículo

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Otras publicaciones en: Revista española de investigaciones quirúrgicas

Resumen

Extracorporeal membrane oxygenation (ECMO) is used as a rescue therapy in severe ARDS. We propose its use as a bridge therapy for surgical repair of complex tracheobronchial fistulas. We report the case of a 56-year-old man with tracheoesophageal fistula after esophagectomy. The defect in the left main bronchus was repaired with a vascularized plasty of the dorsal muscle but the patient could not be extubated mmediately. As a result, the plasty migrated and required emergency surgery, this time under ECMO support, to ensure full ventilatory support and protection of the plasty until the sutures had scarred.

Fuente de los datos: Dialnet