Resection of the Carina and Main-Stem Bronchi with the Use of Extracorporeal Circulation

THE principal use of extracorporeal perfusion has been to make possible operative procedures with-in the heart. Pump oxygenators are used to replace the function of both the heart and lungs while such operations are in progress. Open-heart procedures usually require a pump oxygenator. This technic has not been needed for lung operations because one lung may undergo repair while the other supports ventilation. However, maintenance of ventilation may be inadequate with extensive resections of the trachea or carina. When an operation is indicated in this portion of the pulmonary system the pump oxygenator can make the procedure feasible.It is . . .