Anesteziologie a intenzivní medicína – 1/2025

KAZUISTIKA / CASE REPORT Our experience with VV ECMO‑assisted surgery: case report series 36 | ANESTEZIOLOGIE A INTENZIVNÍ MEDICÍNA / Anest intenziv Med. 2025;36(1):34-38 / www.aimjournal.cz Tab. 1. Patient characteristics No. Sex Age Indication Diagnosis Co-morbidity Procedure No. of procedure ECMO duration (days) Postoperative complications 30-day mortality yes = 1 Hospital LOS 1 W 60 elective Left lower lobe melanoma metastases Post right pneumonectomy Wedge resection, thoracotomy 1 1 no 0 7 2 W 66 elective NSCLC left upper lobe Tracheal malatia Lobectomy, VATS 1 1 no 0 10 3 M 71 elective MPLC right upper lobe After left lower lobectomy Lobectomy, right, open thoracotomy 1 1 no 0 10 4 M 78 elective Emphysema bullosum, left sided pneumothorax Impossible one-lung ventilation LVRS (bullectomy), open thoracotomy 1 1 no 0 7 5 W 51 elective MPLC left lobe After right lower lobectomy Lobectomy, open thoracotomy 1 1 no 0 5 6 M 78 elective Intrathoracic goiter Tracheal compression Hemithyroidectomy, sternotomy 1 1 no 0 8 7 M 72 elective MPLC right upper lobe After left lower lobectomy Wedge resection, open thoracotomy 1 1 no 0 5 8 M 75 acute Broncho pleural fistulation Post right pneumonectomy Bronchial suture, omentoplasty, open thoracotomy 2 2 Musculus psoas hematoma 1 19 9 W 26 acute Empyema gr. II ARDS Surgical treatment, VATS 3 18 Hemothorax 1 18 10 M 54 acute Empyema gr.II ARDS Surgical treatment, open thoracotomy 1 1 no 0 38 11 M 49 acute Expansive bulla CHOPN, severe pulmonary hypertension Wedge resection, open thoracotomy 1 1 no 0 63 12 W 60 acute Pneumothorax, pneumomediastinum, tracheal injury ARDS Tracheal suture, Open thoracotomy 1 14 no 1 14 13 M 64 acute Pneumothorax after failed drainage ARDS Wedge resection, open thoracotomy 1 3 Hemoperitoneum (patient after recent hemicolectomy) 0 21 14 M 60 acute Pulmonary abscess, pneumothorax, empyema, ARDS Wedge resection, open thoracotomy 3 14 Infection at the cannulation site 0 100 15 M 33 acute Lung necrosis right upper and left lower lobe ARDS 2× Lobectomy, open thoracotomy 3 16 Hemothorax 0 90+ still counting ARDS – acute respiratory distress syndrome; COPD – chronic obstructive pulmonary disease; LOS – length of stay; LVRS – lung volume reduction surgery; MPLC – multiple lung cancer; NSCLC – non small cell lung cancer; VATS – video assisted thoracoscopic surgery; VV ECMO – veno-venous extracorporeal membrane oxygenation.

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