Video-Assisted Thoracoscopic Mediastinal Drainage as Salvage Therapy for Tension Pneumomediastinum during VV-ECMO

Written By CCRG

Kimoto, K., Iwasaki, Y., Miyazato, M., Fujita, K., Hagiwara, Y., Ogura, T., ASAIO Journal, 10.1097/01.mat.0001204640.06134.75

Abstract: Tension pneumomediastinum is a rare, life-threatening complication of ARDS. VV-ECMO–supported conservative management may be attempted; however, persistent tension physiology requires surgical decompression, and the optimal approach remains unclear. We report two cases in which VATS-guided mediastinal drainage improved tension pneumomediastinum during VV-ECMO.

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