Posterior Mediastinal Mass Resection Requiring Venoarterial and Venovenous Extracorporeal Membrane Oxygenation Support

Published:January 12, 2021DOI:
      MANAGEMENT OF a large mediastinal mass resection remains a challenging anesthetic scenario due to its compression of airway and major cardiovascular structures. These problems often are exacerbated by general anesthesia. Mediastinal masses usually are designated as anterior, middle, or posterior based on their location in the mediastinum. In general, large anterior mediastinal masses cause the most severe and often life-threatening complications due to the gravity effect leading to a high degree of compression on the trachea, the superior vena cava (SVC), the pulmonary artery, or the right heart. A posterior mediastinal mass usually is considered at lower risk because of its anatomic distance from those vital structures. Here the authors present a case of a large posterior mediastinal mass leading to severe cardiopulmonary compromise, requiring venoarterial (VA) extracorporeal membrane oxygenation (ECMO) for surgical resection and venovenous (VV) ECMO support for postoperative management. Informed consent was obtained from the patient for publication of this case report.

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