Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Respiratory Support by Performing Percutaneous Cardiopulmonary Support (PCPS) for Tracheal Resection and Reconstruction in Patients with Severe Distal Tracheal Stenosis

고도의 원위부 기관협착 환자에서 경피적 심폐보조장치를 이용한 호흡보조 하에 시행한 기관절제 및 단단 문합술

  • Cho, Sang-Ho (Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine) ;
  • Park, In-Kyu (Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine) ;
  • Lee, Chang-Young (Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine) ;
  • Bae, Mi-Kyung (Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine) ;
  • Chung, Kyung-Young (Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine)
  • 조상호 (연세대학교 의과대학 흉부외과학교실) ;
  • 박인규 (연세대학교 의과대학 흉부외과학교실) ;
  • 이창영 (연세대학교 의과대학 흉부외과학교실) ;
  • 배미경 (연세대학교 의과대학 흉부외과학교실) ;
  • 정경영 (연세대학교 의과대학 흉부외과학교실)
  • Published : 2009.04.05
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Abstract

Surgery on the distal trachea or the carina presents special problems for maintaining the airway and systemic oxygenation. Cardiopulmonary bypass is an alternative method for respiratory support for the patients with these conditions. Percutaneous cardiopulmonary support (PCPS) applied under local anesthesia has recently been used for respiratory support in tracheal surgery and the outcome is satisfactory. We encountered a patient who had severe distal tracheal stenosis after prolonged intubation. We had a gratifying result with performing tracheal resection and repair under the support of PCPS.

기관 및 폐문부 수술 시 기도확보가 어려운 경우나 폐실질 질환을 동반하여 저산소증 등이 우려될 경우 심폐보조장치의 도움을 받을 수 있다. 국소마취 하에 시행할 수 있는 경피적 심폐보조장치는 고전적인 심폐보조장치를 대신하여 기관호흡으로 호흡유지가 힘든 환자에게 안전하고 손쉽게 적용할 수 있다. 저자들은 고도의 하부 기관협착 환자에서 경피적 심폐보조장치를 이용한 호흡보조 하에 기관절제 및 단단 문합술을 성공하였기에 보고하는 바이다.

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References

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