Premium
Venopulmonary artery extracorporeal lung assist in repair of traumatic aortic injury via left thoracotomy
Author(s) -
Ito Hisato,
Bessho Saki,
Yamamoto Naoki,
Hirano Koji,
Shomura Yu,
Takao Motoshi
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14904
Subject(s) - medicine , thoracotomy , extracorporeal , pulmonary artery , descending aorta , extracorporeal circulation , lung , respiratory failure , aorta , surgery , right pulmonary artery , left pulmonary artery , anesthesia , cardiology
An urgent surgery was performed for a 28‐year‐old man who sustained a traumatic descending thoracic aortic injury in an automobile collision. Severe respiratory failure was encountered during surgery, which did not allow for single‐lung ventilation for adequate exposure of the descending aorta. We used venopulmonary artery extracorporeal lung assist by main pulmonary artery cannulation with concurrent distal aortic perfusion using a single centrifugal pump. Cannulating the easily accessible main pulmonary artery for venopulmonary artery extracorporeal lung assist is a safe and feasible technique in patients complicated with profound respiratory failure undergoing aortic surgery via left thoracotomy.