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Korean Journal of Anesthesiology 2005;48(2):207-210.
DOI: https://doi.org/10.4097/kjae.2005.48.2.207   
Femoro-femoral Cardiopulmonary Bypass during Tracheal Reconstruction Surgery: A case report.
Il Woo Shin, In Seok Jang, Young Woon Chung, Ju Tae Sohn, Heon Keun Lee, Young Kyun Chung
1Department of Anesthesiology and Pain Medicine, College of Medicine, Gyeongsang National University, Jinju, Korea. ykchung@nongae.gsnu.ac.kr
2Institute of Health Sciences, College of Medicine, Gyeongsang National University, Jinju, Korea.
3Department of Thoracic and Cardiovascular Surgery, College of Medicine, Gyeongsang National University, Jinju, Korea.
A 45 year-old-women with tracheal stenosis due to an endotracheal tumor was scheduled for tracheal reconstruction surgery. The stenotic lesion was located 1 cm above the carina, and was length of 4 cm and had a narrowest internal diameter of 0.4 cm. The length of such a stenotic segment and its narrowest internal diameter may pose lung ventilation problems before or during tumor resection, which may preclude a successful outcome. Thus, during tracheal reconstruction surgery a femoro-femoral partial cardiopulmonary bypass, self respiration, and pulmonary artery ligation were used. These measures improved oxygenation and cardiovascular stability, and tracheal reconstruction was successfully performed without complication.
Key Words: carina; femoro-femoral bypass; pulmonary artery; tracheal stenosis


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