Alireza Jahangirifard
1 
, Zargham Hosein Ahmadi
1 , Abolghasem Daneshvar Kakhaki
2 , Behrooz Farzanegan
2 , Kambiz Sheikhy
1*1 Lung Transplantation Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Tracheal Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract
Some advanced thoracic malignancy cannot be resected safely by using of conventional
ventilation, so some sort of cardiopulmonary support is needed for hemodynamic and ventilation
management of the patient. Using extracorporeal membrane oxygenation (ECMO) in comparing
with cardiopulmonary bypass has some advantages. Three patients with huge thoracic tumors
with different ages experienced major surgery in our center by using ECMO in order to face
major complications mainly due to the size of mass to achieve better hemostatic stabilities, lower
bleeding, and injuries to main airways and secure oxygenation. This is the first case series in Iran,
as our best knowledge that explains cases of huge chest mass which were operated perfectly by
using ECMO and short ICU stay and interestingly no major complications.