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Fulminant respiratory failure due to severe pneumothorax after re-do coronary artery bypass grafting treated with veno-venous extracorporeal membrane oxygenation.

Akito InoueRyohei UshiodaKazuki MiyataniKentaro ShirakuraNobuhiro MochizukiHideki IsaYuki SetogawaMasahiko NaritaFumitaka SuzukiAina HirofujiRyo OkuboShingo KuniokaMasahiro TsutsuiKamiya Hiroyuki
Published in: Journal of surgical case reports (2024)
This case report details the management of a 79-year-old man who developed massive postoperative pneumothorax following redo coronary artery bypass grafting due to severe lung adhesions. We successfully treated the patient using veno-venous extracorporeal membrane oxygenation without femoral cannulation, allowing for early rehabilitation initiation. Veno-venous extracorporeal membrane oxygenation is a reasonable option for cases of severe respiratory failure due to pneumothorax with lung destruction caused by re-sternotomy during re-do cardiac surgery.
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