Key result
Surgical resection of a giant pulmonary mesenchymal tumor assisted by ECMO and rigid bronchoscopy resulted in complete tumor removal and symptom resolution without neurological or cardiovascular complications at 4 weeks.
Why the study?
Resection of giant pulmonary mesenchymal tumors in children poses significant anesthetic challenges, including risks of cardiovascular collapse during induction and injury to compressed or displaced adjacent structures.
Case Report (n=1)
No
ECMO and rigid bronchoscopy can facilitate the successful and safe surgical resection of giant pulmonary mesenchymal tumors in pediatric patients.
Alerts to induction collapse risk in rare pediatric giant lung tumors; leaves open standardized perioperative protocols.
BACKGROUND: Giant pulmonary mesenchymal tumors in children pose significant challenges in pediatric anesthesia practice. During resection, these tumors can lead to complications such as cardiovascular collapse during anesthesia induction and injury to adjacent organs or blood vessels that may be compressed or displaced. CASE PRESENTATION: A 3-year-old girl presented to the pediatric clinic with cough, wheezing, and orthopnea (inability to lie flat due to dyspnea). After a diagnosis of giant pulmonary mesenchymal tumor, she underwent complete resection under extracorporeal membrane oxygenation (ECMO) and high-frequency ventilation, with rigid bronchoscopy used for airway management. ECMO was successfully discontinued, and the tracheal tube was extubated 3 days later. At 4-week follow-up, her symptoms significantly resolved, and no neurological or cardiovascular complications were reported. CONCLUSIONS: This is one of the few detailed reports of a pediatric pulmonary mesenchymal tumor managed with ECMO and rigid bronchoscopy so far. Preoperative multidisciplinary cooperation, ECMO, and rigid bronchoscopy are critical for the successful resection of pediatric pulmonary mesenchymal tumors and may significantly improve long-term outcomes in pediatric patients.
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Xiong et al. (2025) conducted a case report in Giant pulmonary mesenchymal tumor (n=1). Surgical resection assisted by ECMO and rigid bronchoscopy was evaluated on Surgical success and postoperative complications. Surgical resection of a giant pulmonary mesenchymal tumor assisted by ECMO and rigid bronchoscopy resulted in complete tumor removal and symptom resolution without neurological or cardiovascular complications at 4 weeks.
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