RT Journal Article
SR Electronic
T1 Level 3 tracheal injury in acute coronary syndrome treated conservatively with extracorporeal membrane oxygenation
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e251456
DO 10.1136/bcr-2022-251456
VO 15
IS 11
A1 Syuntaro Horio
A1 Takashi Yoshizane
A1 Makoto Iwama
A1 Toshiyuki Noda
YR 2022
UL http://casereports.bmj.com/content/15/11/e251456.abstract
AB Level 3 tracheal injury, characterised by complete laceration with oesophageal or mediastinal soft-tissue herniation, is conventionally indicated for surgical repair. We present the case of a woman in her 60s with level 3 tracheal injury in acute coronary syndrome who was treated successfully without surgery. Venoarterial extracorporeal membrane oxygenation (ECMO) was introduced during lung-rest management to avoid positive pressure ventilation, and percutaneous coronary angioplasty was performed. Venoarterial ECMO was switched to venovenous ECMO when the haemodynamics improved. The tracheal injury healed spontaneously in 10 days, and ECMO was withdrawn on day 15. The patient made full recovery and was discharged on day 51.