Abstract
Abstract
Background:
Tracheal stenosis may arise from congenital malformation, trauma, prolonged intubation, or malignancy. Surgical correction of such lesions poses a major challenge, especially when airway management becomes difficult due to the location and extent of narrowing.
Case Summary:
We report a case of a 64-year-old male with circumferential thickening of the trachea at the D2–D3 level, exhibiting a 1.3cm long segmental narrowing. The patient underwent tracheal ring resection with veno-venous extracorporeal membrane oxygenation (VV-ECMO) support. Two apnea periods were maintained intraoperatively, totaling 3.5 hours, with stable hemodynamics and 100% oxygen saturation throughout. ECMO support was continued overnight as a precaution. The postoperative course was uneventful, and the patient was discharged on postoperative day 11.
Conclusion:
VV-ECMO provides safe and effective respiratory support during complex airway surgeries, ensuring optimal surgical exposure and reducing intraoperative hypoxia and hypercapnia.
Keywords: ECMO, tracheal stenosis, tracheal resection, airway management, difficult intubation.
Recommended Citation
Holamb, Saurabh Ashok Mr and Swami, Ravinath Mr
(2026)
"EXTRA OF EXTRACORPOREAL: Use of VV-ECMO in Complex Tracheal Ring Resection Surgery,"
Journal Of Indian Physician Associates: Vol. 2:
Iss.
1, Article 7.
Available at:
https://digitalshowcase.lynchburg.edu/jipa/vol2/iss1/7