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. |
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Abstract |
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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