Extracorporeal membrane oxygenation with direct central cannulation followed by delayed chest closure for graft dysfunction after lung transplantation:

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Presentation transcript:

Extracorporeal membrane oxygenation with direct central cannulation followed by delayed chest closure for graft dysfunction after lung transplantation: Report of two cases with pulmonary arterial hypertension Masayoshi Inoue, MD, PhD, Masato Minami, MD, PhD, Hajime Ichikawa, MD, PhD, Norihide Fukushima, MD, PhD, Hiroyuki Shiono, MD, PhD, Tomoki Utsumi, MD, PhD, Meinoshin Okumura, MD, PhD, Yoshiki Sawa, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 133, Issue 6, Pages 1680-1681 (June 2007) DOI: 10.1016/j.jtcvs.2006.12.074 Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Patient 1. A, The thorax was temporally closed using an Esmarch bandage with ECMO via direct central cannulation. B, Chest radiograph after transplantation showing an extrathoracic pulmonary shadow. The Journal of Thoracic and Cardiovascular Surgery 2007 133, 1680-1681DOI: (10.1016/j.jtcvs.2006.12.074) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Patient 2. A, Chest radiograph just after lung transplantation showing the oversized grafts forced out from the thoracic cavity. B, Chest radiograph taken prior to delayed chest closure. Pulmonary edema was improved and reduced into the thorax after ECMO support for 2 days. The Journal of Thoracic and Cardiovascular Surgery 2007 133, 1680-1681DOI: (10.1016/j.jtcvs.2006.12.074) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions