Major thoracic surgery during long-term extracorporeal lung assist for treatment of severe adult respiratory distress syndrome (ARDS)

R Rossaint; K Slama; K Lewandowski; D J Frey; H Weidemann; J Fuchs; M Nienhaus; P Henin; K Falke

doi:10.1016/1010-7940(92)90097-h

Major thoracic surgery during long-term extracorporeal lung assist for treatment of severe adult respiratory distress syndrome (ARDS)

Eur J Cardiothorac Surg. 1992;6(1):43-5. doi: 10.1016/1010-7940(92)90097-h.

Authors

R Rossaint¹, K Slama, K Lewandowski, D J Frey, H Weidemann, J Fuchs, M Nienhaus, P Henin, K Falke

Affiliation

¹ Department of Anesthesiology, UKRV/W, Free University of Berlin, FRG.

PMID: 1543601
DOI: 10.1016/1010-7940(92)90097-h

Abstract

Surgery in patients treated with extracorporeal lung assist (ELA) carries a high risk of life threatening bleeding complications caused by the need for systemic anticoagulation. A case report describing a successful surgical intervention for the repair of a broncho-pleural leakage by thoracotomy during ELA is presented. A newly developed heparin coated extracorporeal system was used in a patient being treated for severe adult respiratory distress syndrome (ARDS) after left sided pneumectomy. The heparin coated system allowed discontinuation of systemic heparinization intraoperatively without coagulation complications related to the extracorporeal system. This procedure was followed by resolution of the ARDS.

Publication types

Case Reports
Research Support, Non-U.S. Gov't

MeSH terms

Adult
Bronchial Fistula / surgery*
Extracorporeal Circulation / instrumentation*
Fistula / surgery*
Hemoptysis / surgery*
Humans
Male
Oxygenators, Membrane*
Pleural Diseases / surgery*
Postoperative Complications / surgery*
Pulmonary Gas Exchange / physiology
Reoperation
Respiratory Distress Syndrome / surgery*
Ventilators, Mechanical*