{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T16:19:35Z","timestamp":1771863575577,"version":"3.50.1"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,11,23]],"date-time":"2017-11-23T00:00:00Z","timestamp":1511395200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Extracorporeal membrane oxygenation (ECMO) is used extensively in cardiothoracic surgery both for hemodynamic and respiratory support. It has proven to be a valuable tool to maintain adequate oxygenation during tracheal surgery. Airway lesion may be an indication for veno-venous ECMO both in case of conservative management and in case of surgical repair. Here we report the case of a patient with a iatrogenic tracheal injury, successfully operated with the support of veno-venous extracorporeal oxygenation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case:<\/jats:title>\n                    <jats:p>A 39-year-old female underwent an elective laparoscopic adhesiolysis. At the end of the procedure, the patient had developed subcutaneous emphysema. A CT-scan showed mediastinal and subcutaneous emphysema and left pneumothorax with a laceration of the membranous portion of the middle third of the trachea.<\/jats:p>\n                    <jats:p>A left pleural drain was inserted and a bronchoscopy showed a 2-cm long tear of the membranous portion in the middle third of the trachea.<\/jats:p>\n                    <jats:p>Veno-venous ECMO was established and surgical repair of the tracheal lesion was performed. Post-operative recovery was uneventful and the patient was discharged on 8th postoperative day.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>The use of Veno-venous ECMO allowed a safe intubation with optimal oxygenation. A selective intubation with a small tube was performed to prevent further tracheal injury and allow an adequate surgical space for tracheal repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The use of ECMO support represents a safe and effective way to manage patients with ITI when surgical repair with minimally invasive ventilation is needed.<\/jats:p>\n                    <jats:p>Since this is a case report larger studies are needed to validate the technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2017.11.036","type":"journal-article","created":{"date-parts":[[2017,11,24]],"date-time":"2017-11-24T20:17:04Z","timestamp":1511554624000},"page":"64-66","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":18,"title":["Veno-venous ECMO during surgical repair of tracheal perforation"],"prefix":"10.1097","volume":"42","author":[{"given":"Filippo","family":"Antonacci","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiara","family":"De Tisi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilaria","family":"Donadoni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Maurelli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giorgio","family":"Iotti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio Silvio","family":"Taccone","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giulio","family":"Orlandoni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlo","family":"Pellegrini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mirko","family":"Belliato","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-16-20260114","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1186\/1749-8090-9-117","article-title":"Airway trauma: a review on epidemiology, mechanisms of injury, diagnosis and treatment","volume":"9","author":"Prokakis","year":"2014","journal-title":"J. Cardiothorac. Surg"},{"key":"R2-16-20260114","first-page":"1155","article-title":"Strategies for diagnosis and treatment of iatrogenic tracheal ruptures","volume":"77","author":"Deja","year":"2011","journal-title":"Minerva Anestesiol"},{"key":"R3-16-20260114","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1186\/s13019-015-0252-7","article-title":"Conservative extracorporeal membrane oxygenation treatment in a tracheal injury: a case report","volume":"10","author":"Son","year":"2015","journal-title":"J. Cardiothorac. Surg"},{"key":"R4-16-20260114","doi-asserted-by":"crossref","first-page":"1029","DOI":"10.1007\/s00383-016-3921-2","article-title":"Clinical equivalency of cardiopulmonary bypass and extracorporeal membrane oxygenation support for pediatric tracheal reconstruction","volume":"32","author":"Hasegawa","year":"2016","journal-title":"Pediatr. Surg. 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Surg"},{"key":"R7-16-20260114","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1177\/0267659111420321","article-title":"The successful use of cardiopulmonary support for a transected bronchus","volume":"27","author":"Walker","year":"2012","journal-title":"Perfusion"},{"key":"R8-16-20260114","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1093\/ejcts\/ezu162","article-title":"Extracorporeal membrane oxygenation support for complex trachea-bronchial procedures","volume":"47","author":"Lang","year":"2015","journal-title":"Eur. J. Cardio-Thorac. Surg"},{"key":"R9-16-20260114","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1016\/j.ejcts.2005.10.041","article-title":"Extended pulmonary resections of advanced thoracic malignancies with support of cardiopulmonary bypass","volume":"29","author":"Wiebe","year":"2006","journal-title":"Eur. J. Cardiothorac. Surg"},{"key":"R10-16-20260114","doi-asserted-by":"crossref","first-page":"947","DOI":"10.1016\/j.healun.2016.04.005","article-title":"Therapeutic anticoagulation-free extracorporeal membrane oxygenation as a bridge to lung transplantation","volume":"35","author":"Tomasko","year":"2016","journal-title":"J. Heart Lung Transplant"},{"key":"R11-16-20260114","doi-asserted-by":"crossref","first-page":"E629","DOI":"10.21037\/jtd.2017.06.11","article-title":"Veno-arterial extracorporeal membrane oxygenation without therapeutic anticoagulation for intra-operative cardiopulmonary support during lung transplantation","volume":"9","author":"Bharat","year":"2017","journal-title":"J. Thorac. 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