ECMO-assisted resection of huge thoracic mass

Abstract

Some advanced thoracic malignancy cannot be resected safely by using of conventional ventilation, so some sort of cardiopulmonary support is needed for hemodynamic and ventilation management of the patient. Using extracorporeal membrane oxygenation (ECMO) in comparing with cardiopulmonary bypass has some advantages. Three patients with huge thoracic tumors with different ages experienced major surgery in our center by using ECMO in order to face major complications mainly due to the size of mass to achieve better hemostatic stabilities, lower bleeding, and injuries to main airways and secure oxygenation. This is the first case series in Iran, as our best knowledge that explains cases of huge chest mass which were operated perfectly by using ECMO and short ICU stay and interestingly no major complications.

SARS-Cov-2 and COVID-19, Basic and Clinical Aspects of the Human Pandemic: A Review

“…ECMO has been widely used during recent years for cardiopulmonary support ( 56 ). This device has greatly helped patients with severe ARDS in viral epidemics like influenza H1N1 with a success rate of up to 60% ( 56 ).…”

“…ECMO has been widely used during recent years for cardiopulmonary support ( 56 ). This device has greatly helped patients with severe ARDS in viral epidemics like influenza H1N1 with a success rate of up to 60% ( 56 ). Considering lung involvement and the high incidence of ARDS in COVID-19 disease, the use of this tool has been considered in China, but the results have not been very encouraging so far ( 57 ).…”