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Pediatr Emerg Care. 2010 Apr;26(4):296-8. doi: 10.1097/PEC.0b013e3181d6daf0.

Rescue of cardiopulmonary collapse in anterior mediastinal tumor: case presentation and review of literature.

Author information

1
Department of Pediatrics, National Taiwan University Hospital, College of Medicine, Taipei, Taiwan.

Abstract

BACKGROUND:

Anterior mediastinal tumors in pediatric patients may cause severe cardiorespiratory compromise and sudden collapse, especially when anesthesia or analgesic is required.

METHOD:

We report a 15-year-old boy with a huge anterior mediastinal tumor that caused complete obliteration of right pulmonary artery and left bronchus, that is, complete ventilation-perfusion mismatch. Cardiopulmonary collapse happened after meperidine injection, and extracorporeal membrane oxygenation (ECMO) was instituted.

RESULTS:

We then put bronchial stents to restore airway patency and proceeded chemotherapy under ECMO support. Extracorporeal membrane oxygenation was removed 40 hours later. However, the patient died of neutropenic sepsis 9 days after admission.

CONCLUSIONS:

We emphasized the devastating consequences of anterior mediastinal tumor compression on the pulmonary artery and the contralateral-side bronchus and the use of ECMO as a rescue.

PMID:
20386416
DOI:
10.1097/PEC.0b013e3181d6daf0
[Indexed for MEDLINE]

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