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 HiroyukiPublished 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.
Keyphrases
- extracorporeal membrane oxygenation
- coronary artery bypass grafting
- respiratory failure
- acute respiratory distress syndrome
- case report
- percutaneous coronary intervention
- coronary artery disease
- cardiac surgery
- early onset
- mechanical ventilation
- acute coronary syndrome
- aortic valve replacement
- acute kidney injury
- heart failure
- intensive care unit
- transcatheter aortic valve replacement