Intraoperative venovenous extracorporeal membrane oxygenation to repair a complex bronchoesophageal fistula

• Cobeta Orduña, P ^[1] ; Ovejero Díaz, P ^[1] ; Mira Betancur, A ^[1] ; Priego Jiménez, P ^[1] ; Moreno Mata, N ^[1]
  1. [1] Hospital Ramón y Cajal

     Hospital Ramón y Cajal

     Madrid, España

     
• Localización: Revista española de investigaciones quirúrgicas, ISSN 1139-8264, Vol. 21, Nº. 2, 2018, págs. 53-55
• Idioma: inglés
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• Resumen

  • Extracorporeal membrane oxygenation (ECMO) is used as a rescue therapy in severe ARDS. We propose its use as a bridge therapy for surgical repair of complex tracheobronchial fistulas. We report the case of a 56-year-old man with tracheoesophageal fistula after esophagectomy. The defect in the left main bronchus was repaired with a vascularized plasty of the dorsal muscle but the patient could not be extubated mmediately. As a result, the plasty migrated and required emergency surgery, this time under ECMO support, to ensure full ventilatory support and protection of the plasty until the sutures had scarred.