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Bronchoscopy was performed which revealed a 2-cm longitudinal laceration in the membranous wall of the trachea that extended towards the carina. Given these findings, cardiothoracic surgery was consulted. Due to refractory hypoxemic and hypercapnic respiratory failure despite maximal ventilatory support, VV-ECMO was initiated on hospital day three. Due to improvement in oxygenation and ventilation, a right thoracotomy with tracheal repair and pericardial window placement was performed.

Use of Venovenous Extracorporeal Membranous Oxygenation Following Iatrogenic Tracheal Rupture