Korean J Crit Care Med.  2016 Feb;31(1):54-57. 10.4266/kjccm.2016.31.1.54.

The Use of Extracorporeal Membrane Oxygenation in the Surgical Repair of Bronchial Rupture

• Park JH
• Lim J
• Lee J
• Lee HS

• KMID: 2227614
• DOI: http://doi.org/10.4266/kjccm.2016.31.1.54

Abstract

Extracorporeal membrane oxygenation (ECMO) has been used successfully in critically ill patients with traumatic lung injury and offers an additional treatment modality. ECMO is mainly used as a bridge treatment to delayed surgical management; however, only a few case reports have presented the successful application of ECMO as intraoperative support during the surgical repair of traumatic bronchial injury. A 38-year-old man visited our hospital after a blunt chest trauma. His chest imaging showed hemopneumothorax in the left hemithorax and a finding suspicious for left main bronchus rupture. Bronchoscopy was performed and confirmed a tear in the left main bronchus and a congenital tracheal bronchus. We decided to provide venovenous ECMO support during surgery for bronchial repair. We successfully performed main bronchial repair in this traumatic patient with a congenital tracheal bronchus. We suggest that venovenous ECMO offers a good option for the treatment of bronchial rupture when adequate ventilation is not possible.

Keyword

blunt injury; extracorporeal membrane oxygenation; lung injury; trauma

MeSH Terms

Adult
Bronchi
Bronchoscopy
Critical Illness
Extracorporeal Membrane Oxygenation*
Hemopneumothorax
Humans
Lung Injury
Rupture*
Tears
Thorax
Ventilation
Wounds, Nonpenetrating