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DOI: 10.1055/s-2007-1011982
© Georg Thieme Verlag Stuttgart · New York
Carinal Reconstruction Under Veno-Venous Bypass Using a Percutaneous Cardiopulmonary Bypass System
Publication History
1995
Publication Date:
19 March 2008 (online)
![](https://www.thieme-connect.de/media/thoracic/199601/lookinside/thumbnails/10.1055-s-2007-1011982-1.jpg)
Abstract
We report two patients who underwent carinal resection and reconstruction for advanced lung cancer under veno-venous bypass. The bypass system consisted of a centrifugal pump and a hollow-fiber membrane oxygenator, and was established by percutaneous insertion of cannulas through the femoral veins using the Seldinger technique. This respiratory support system under veno-venous bypass was safe and useful for carinal reconstruction, providing a good visual field and adequate oxygenation. Although other standard accepted ventilation techniques can be used for carinal resection, veno-venous bypass is an alternative adjunct in cases involving difficult carinal reconstruction.
Key words
Carinal reconstruction - Veno-venous bypass - Percutaneous cardiopulmonary bypass system - Respiratory support