Key result
Extracorporeal membrane oxygenation served as an effective alternative therapy for severe, refractory bronchospasm following cardiopulmonary bypass during surgery for type A aortic dissection.
Why the study?
Severe bronchospasm during cardiopulmonary bypass is a rare, life-threatening complication that had not previously been reported during surgery for type A aortic dissection.
Does extracorporeal membrane oxygenation improve refractory bronchospasm in a patient undergoing surgery for type A aortic dissection?
Case Report (n=1)
Does extracorporeal membrane oxygenation improve refractory bronchospasm in a patient undergoing surgery for type A aortic dissection?
ECMO may be an effective rescue therapy for severe, refractory bronchospasm following cardiopulmonary bypass during aortic surgery.
ECMO may rescue refractory bronchospasm in type A dissection repair; this Level 5 case leaves open its broader role.
Severe bronchospasm during cardiopulmonary bypass is an unusual but potentially fatal event. No literature previously has reported such an event observed during surgery for type A aortic dissection. Herein, we report on a case of severe bronchospasm following cardiopulmonary bypass, during aortic surgery for type A aortic dissection. Bronchospasm did not respond to any conventional therapy, necessitating extracorporeal membrane oxygenation. Extracorporeal membrane oxygenation thus serves as an alternative and effective therapy for refractory bronchospasm.
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Lin et al. (2021) conducted a case report in Type A aortic dissection with severe bronchospasm (n=1). Extracorporeal membrane oxygenation was evaluated. Extracorporeal membrane oxygenation served as an effective alternative therapy for severe, refractory bronchospasm following cardiopulmonary bypass during surgery for type A aortic dissection.
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