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KMID : 0361020230660010058
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Korean Journal of Otolaryngology - Head and Neck Surgery
2023 Volume.66 No. 1 p.58 ~ p.61
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A Case of Metastatic Tumor Totally Obstructing Lower Trachea Removed by Ventilating Bronchoscopy and Suspension Laryngoscope With Extracorporeal Membrane Oxygenation
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Kim Shin-Young
Jeong Jun-Yeong
Park Ki-Nam
Lee Seung-Won
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Abstract
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A patient diagnosed with advanced lung cancer developed severe dyspnea after chemotherapy.
Metastatic tumor completely obstructing the lower trachea was revealed by bronchoscopy.
Emergent surgery was required but it was difficult to perform open tracheal surgery andmaintain sufficient ventilation with tracheal intubation because of location and size of the tumor.
After consultation with an esthesiologist, respiratory physician and cardiothoracic surgeon,we performed surgery with extracorporeal membrane oxygenation (ECMO) without intubation.
We report a rare case of a successfully removed metastatic tumor in the airwayunder the support of ECMO.
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KEYWORD
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Airway obstruction, Extracorporeal membrane oxygenation, Ventilating bronchoscopy
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