Acute
respiratory failure after surgery for aortic dissection is a serious complication
that has been associated with increased mortality and morbidity. Veno-venous (VV)
extracorporeal membrane oxygenation (ECMO) is reported as one of the treatments
for this life-threatening complication. A 78-year-old male patient was admitted to our hospital for Stanford type A
acute aortic dissection. He underwent emergency replacement of the ascending
aorta, after which he developed acute lung injury. It was difficult to maintain
oxygenation with a respirator mask. Therefore, VV-ECMO was initiated on
postoperative day 1. The oxygenation gradually improved, and VV-ECMO was
continued until postoperative day 13. On postoperative day 25, mechanical
ventilation was withdrawn. The patient was discharged from the hospital on
postoperative day 149. We report a case of successful treatment of acute lung
injury with VV-ECMO initiated after surgery for aortic dissection. VV-ECMO can
be considered as a treatment option for severe acute lung injury after surgery
for aortic dissection.
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