Open AccessExtracorporeal membrane oxygenation (ECMO) assisted mediastinal tumor resection and superior vena cava replacement are safe and feasible
Author(s) -
Zhang Shixin,
Tan Deli,
Wu Wei,
He Bo,
Jing Tao,
Tang Meng,
Wu Tao,
Liu Hongxiang,
Zhang Ming,
Zhou Ni,
Tang Lingfeng,
Chen Qiao,
Tang Jinghua,
Xia Mei,
Huang Aihong,
Liao Yi,
Qiu Yang,
Wang Haidong
Publication year - 2019
Publication title -
thoracic cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.823
H-Index - 28
eISSN - 1759-7714
pISSN - 1759-7706
DOI - 10.1111/1759-7714.13140
Subject(s) - medicine , extracorporeal membrane oxygenation , superior vena cava , femoral vein , surgery , shunting , shunt (medical) , radiology , anesthesia
Background How to maximally improve the drainage of intracranial and upper body venous and to reduce neurological complications during thoracic tumor‐causedsuperior vena cava replacement are still clinical problems to be solved. Methods We have innovatively used the bilateral jugular vein‐left femoral vein ECMO shunting to perform mediastinal tumor resection and superior vena cava replacement in a 50‐year‐old woman. Results During the operation, this technique maintained the patient's hemodynamic stability, improved the cerebral oxygen saturation and reduced the cerebral ischemia, hypoxia as well as the neurological complications. Conclusion It is indicated for patients with superior vena cava replacement who are unable to perform venous bypass (such as innominate vein to right atrial bypass) or venous shunting (such as differential pressure drainage from internal jugular vein to femoral vein).