Overcoming Complex Airway Obstruction: Utilizing VV ECMO for Successful Procedure and Post-Operative Management in A Mediastinal Mass Patient

Abstract

This case report presents a unique application of venovenous extracorporeal membrane oxygenation (VV ECMO) therapy in a 30-year-old female patient with a massive mediastinal mass suspected to be adenocarcinoma. The mass had severely compromised the patient’s airway, making her unable to lie flat. The tumor’s location posed challenges for conventional treatments, and after unsuccessful attempts with chemotherapy, a multidisciplinary decision was made to proceed with tracheal stent placement. During the procedure, VV ECMO was utilised to ensure hemodynamic stability and oxygenation. Subsequently, the patient was transported on ECMO for three consecutive days to another hospital to receive radiotherapy. This report emphasizes the critical role of ECMO in facilitating complex interventions and post-operative management in patients with compromised airways and highlights its potential as a bridge to further treatments.