Iatrogenic bronchial injury findings during video-assisted thoracoscopic surgery.
Extracorporeal membrane oxygenation support
Iatrogenic bronchial injury
Patient safety
Journal
General thoracic and cardiovascular surgery
ISSN: 1863-6713
Titre abrégé: Gen Thorac Cardiovasc Surg
Pays: Japan
ID NLM: 101303952
Informations de publication
Date de publication:
Feb 2021
Feb 2021
Historique:
received:
10
06
2020
accepted:
16
08
2020
pubmed:
28
8
2020
medline:
15
4
2021
entrez:
27
8
2020
Statut:
ppublish
Résumé
Iatrogenic tracheobronchial injury detected during cardiothoracic surgery should be repaired intraoperatively to ensure safe of postoperative management and stable respiratory conditions. We report herein a patient with lung cancer who underwent video-assisted thoracoscopic surgery right lower lobectomy. During surgery, pneumomediastinum and air leakage from mediastinal fatty tissue were detected. Furthermore, bronchial injury to the membranous part of the left main bronchus was incidentally detected. Hence, we switched from video-assisted thoracoscopic surgery to posterolateral thoracotomy and repaired this bronchial injury using a continuous suture technique under right femoral venoarterial extracorporeal membrane oxygenation support. The intraoperative findings could offer a clue for early detection and development of therapeutic strategy for iatrogenic tracheobronchial injury.
Identifiants
pubmed: 32845450
doi: 10.1007/s11748-020-01468-2
pii: 10.1007/s11748-020-01468-2
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
388-390Références
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