Veno-arterio-pulmonary-arterial extracorporeal membrane oxygenation in descending aortic surgery

Tomoyuki Minami; Keiji Uchida; Shota Yasuda; Tomoki Cho; Yusuke Matsuki; Hiroko Nemoto; Yoshiyuki Kobayashi; Keiichiro Kasama; Daisuke Machida; Munetaka Masuda

doi:10.1007/s11748-020-01518-9

Veno-arterio-pulmonary-arterial extracorporeal membrane oxygenation in descending aortic surgery

Gen Thorac Cardiovasc Surg. 2021 Apr;69(4):727-730. doi: 10.1007/s11748-020-01518-9. Epub 2020 Oct 22.

Authors

Affiliations

¹ Cardiovascular Center, Yokohama City University Medical Center, 4-57 Urafune-cho, Minami-ku, Yokohama, Kanagawa, 232-0024, Japan. tomo373@yokohama-cu.ac.jp.
² Cardiovascular Center, Yokohama City University Medical Center, 4-57 Urafune-cho, Minami-ku, Yokohama, Kanagawa, 232-0024, Japan.
³ Cardiovascular Surgery, Yokohama Municipal Citizen's Hospital, 56 Okazawa-cho, Hodogaya-ku, Yokohama, Kanagawa, 240-8555, Japan.
⁴ Department of Surgery, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, 236-004, Japan.

PMID: 33094365
DOI: 10.1007/s11748-020-01518-9

Abstract

Hypoxia during one-lung ventilation is a significant problem in descending aortic surgery via left thoracotomy. Veno-arterio-pulmonary-arterial extracorporeal membrane oxygenation (VAPa-ECMO), which consists of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) and an additional arterial branch to perfuse a pulmonary artery (Pa), is useful.

Keywords: Aortic operation; Descending aorta; Extracorporeal membrane oxygenation; Pulmonary-arterial perfusion.

MeSH terms

Extracorporeal Membrane Oxygenation*
Humans
Pulmonary Artery / surgery