The successful use of cardiopulmonary support for a transected bronchus

J. L. Walker, J. Wiersch, C. Benson, H. A. Young, D. T. Dearmond, S. B. Johnson

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

A 20-year-old male was involved in a motor vehicle accident and computed tomography revealed a completely transected right mainstem bronchus. An Emergency Department (ED) right anterior thoracotomy was necessary soon after arrival at our institution secondary to acute desaturation that was unresponsive to ventilator and chest tube management. This allowed direct intubation and ventilation of the right middle and lower lobes directly through the thoracotomy incision, which stabilized the patient for transport to the operating room. Once there, percutaneous cardiopulmonary support (CPS) was initiated to allow primary surgical repair of the transected bronchus. Post surgery, the patient was transported to the surgical intensive care unit on CPS which he required for an additional two days. The patient eventually did well and was discharged home. To our knowledge this is the first successful reported case of using the Avalon Elite dual lumen veno-venous cannula for CPS in a patient with complete right main-stem bronchus transection and bilateral pulmonary contusions.

Original languageEnglish (US)
Pages (from-to)34-38
Number of pages5
JournalPerfusion
Volume27
Issue number1
DOIs
StatePublished - Jan 1 2012

Keywords

  • CPS
  • Cardiopulmonary support
  • ECMO
  • Tracheobronchial injury
  • Transected bronchus

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Safety Research
  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialized Nursing

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