PMC8313788_01
Radiological follow up of the patient. A): Chest X-Ray on the day of admission previous to left decortication: Left-tension pneumothorax despite chest tube, tuberculous cavities on the right lung and bilateral pleural effusion. B and C) Chest computed tomography upon 7 days from admission, previous to left decortication: Right superior lobe extensive pulmonary cavitation with right bud tree micronodules. Left loculated hydropneumothorax with a left chest tube and right pleural effusion. D) Chest X Ray on day 1 post left pleural decortication and fistula repair. E) Chest computed tomography 6 weeks after left pleural decortication and fistula repair: Complete re-expansion of the right lung, resolution of right pleural effusion with partial left pulmonary re-expansion and persistence of the left hydropneumothorax with decrease of the signs of diffuse bronchiolitis. F) Chest X-Ray 4 months post-surgery: Small left pleural effusion, lung re-expansion.
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Chest X-Ray showed bilateral pleural effusion, left tension pneumothorax and tuberculous cavities in the right lung (Fig. 1).
Schematization of VAV-ECMO strategy.. Description: Venous blood flows from femoral vein into the pump and then it returns as arterialized blood into the femoral artery and into the right internal jugular vein, stablishing a VAV-ECMO circuit.
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Syndrome, so it was converted to veno-arterio-venous (VAV) mode adding a right internal jugular cannula (Fig. 2). She required an embolectomy of the leg 12 hours after ECMO initiation after thrombosis was found in the distal arterial perfusion line.