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Bronchoscopic Resection of High-Risk Tracheal Leiomyoma With Extracorporeal Membranous Oxygenation (ECMO) Standby: A
Jesse Liou1,2, Ghassan Habib1,2, Michael Wolf1,2
1Pulmonary Medicine, Cooper University Hospital, Camden, USA.
Abstract:
Tracheal leiomyomas are extremely rare benign tumors that are most commonly treated by bronchoscopic or surgical resection. Procedure-related complication rates are low, with surgical tracheal resection carrying the highest risk. Nonetheless, related airway obstruction is a potentially devastating complication. As proficiency develops, more centers are utilizing extracorporeal membranous oxygenation (ECMO) not just for critically ill patients but also for high-risk airway therapeutic procedures. However, ECMO carries its own potential complications, and the decision to cannulate requires multidisciplinary discussions. We present a case of a high-risk tracheal leiomyoma that was successfully resected bronchoscopically with ECMO on standby.
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