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European Journal of Cardio-Thoracic Surgery, Vol 6, 43-45, Copyright © 1992 by European Association for Cardio-thoracic Surgery

ARTICLES

Major thoracic surgery during long-term extracorporeal lung assist for treatment of severe adult respiratory distress syndrome (ARDS)

R Rossaint, K Slama, K Lewandowski, DJ Frey, H Weidemann, J Fuchs, M Nienhaus, P Henin and K Falke
Department of Anesthesiology, UKRV/W, Free University of Berlin, FRG.

Surgery in patients treated with extracorporeal lung assist (ELA) carries a high risk of life threatening bleeding complications caused by the need for systemic anticoagulation. A case report describing a successful surgical intervention for the repair of a broncho-pleural leakage by thoracotomy during ELA is presented. A newly developed heparin coated extracorporeal system was used in a patient being treated for severe adult respiratory distress syndrome (ARDS) after left sided pneumectomy. The heparin coated system allowed discontinuation of systemic heparinization intraoperatively without coagulation complications related to the extracorporeal system. This procedure was followed by resolution of the ARDS.


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[Abstract] [Full Text]


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Copyright © 1992 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.