Extracorporeal membrane oxygenation combined with minimally invasive surgery for acute respiratory failure and sudden cardiac arrest: A case report

Guo,Da-Wei; Gao,Jun; Wu,Heng-Lan; Wu,Cheng; Wu,Jian-Xiang; Rui,Qiang; Bao,Yi; Liu,Zhong-Hua; Wang,Xi-Yong; Xu,Li-Dong; Hu,Xun; Zhang,Jun

doi:10.3892/etm.2023.11949

Extracorporeal membrane oxygenation combined with minimally invasive surgery for acute respiratory failure and sudden cardiac arrest: A case report

Authors:
- Da-Wei Guo
- Jun Gao
- Heng-Lan Wu
- Cheng Wu
- Jian-Xiang Wu
- Qiang Rui
- Yi Bao
- Zhong-Hua Liu
- Xi-Yong Wang
- Li-Dong Xu
- Xun Hu
- Jun Zhang
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Affiliations: Department of Cardiothoracic Surgery, The Second Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang 314000, P.R. China, Department of Nephrology, The First Hospital of Jiaxing, Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang 314000, P.R. China, Department of Anesthesiology, The Second Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang 314000, P.R. China, Department of Emergency, The Second Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang 314000, P.R. China, The Key Laboratory, The Second Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang 314000, P.R. China
Published online on: April 13, 2023 https://doi.org/10.3892/etm.2023.11949
Article Number: 250
Copyright: © Guo et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Acute respiratory failure and sudden cardiac arrest caused by acute intrathoracic infection is a fatal clinical condition with a low resuscitation success rate. The present study describes the case of a patient with acute empyema secondary to an acute lung abscess rupture, complicated by acute respiratory failure and sudden cardiac arrest caused by severe hypoxemia. The patient recovered well through the administration of multiple therapeutic measures, including medication and closed chest drainage, cardiopulmonary resuscitation, extracorporeal membrane oxygenation combined with continuous renal replacement therapy, and minimally invasive surgical resection of the lung lesion with persistent alveolar fistula as the clinical manifestation. To the best of our knowledge, the treatment of such a severe condition combined with thoracoscopic surgery has rarely been reported before, and the present study may provide insight regarding therapeutic schedules for acute respiratory failure by intrathoracic infection, and excision of ruptured lung abscess.

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