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Case Reports
. 2023 Mar 31;1(3):490-493.
doi: 10.1016/j.atssr.2023.03.010. eCollection 2023 Sep.

Robot-Assisted Lobectomy With Venoarterial Extracorporeal Membrane Oxygenation Support

David W Hyman  1 , Amy J Lykins  2 , Sanjay Chaudhary  3 , Pramod K Guru  3 , Mathew Thomas  2
Affiliations
Case Reports

Robot-Assisted Lobectomy With Venoarterial Extracorporeal Membrane Oxygenation Support

David W Hyman et al. Ann Thorac Surg Short Rep. .

Abstract

Intraoperative extracorporeal membrane oxygenation (ECMO) support during thoracic surgery for high-risk patients has most commonly been performed and reported in open cases. Minimally invasive thoracic surgery with venoarterial (VA) ECMO support has not been reported before. We report a successful case of VA ECMO-assisted robotic right upper lobectomy in a hemodynamically labile patient with severe bullous emphysema, hypoxia-induced severe pulmonary hypertension, and cor pulmonale. In select patients at increased risk for cardiopulmonary instability, VA ECMO can facilitate safe conduct of minimally invasive thoracic operations.

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Figures

Figure 1
Figure 1
Preoperative computed tomography scan of the chest showing severe bullous emphysema of the right upper lobe in (A) sagittal and (B) coronal views.
Figure 2
Figure 2
Chest radiographs: (A) preoperative and (B) 2-month postoperative views.
Figure 3
Figure 3
Ventilation-perfusion lung scans showing (A) severe hypoperfusion of the right upper lobe preoperatively, (B) with significant improvement noted 2 months after right upper lobectomy.
See this image and copyright information in PMC

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