A Case of a Bronchial Foreign Body Removed by Using a Percutaneous Cardiopulmonary Support

Abstract

A 20-month-old girl with a bronchial foreign body, a peanut, with cardiac arrest during ventilation bronchoscopy was reported. Immediately after a rigid bronchoscope was inserted into the trachea under general anesthesia, cardiopulmonary arrest occurred. Although cardiopulmonary resuscitation was started immediately, cardiac function was not recovered, so thoracotomy was performed. A pneumothorax in the right lung, in which there had been no foreign body was found. After cardiopulmonary function was recovered, we performed a tracheotomy and a rigid bronchoscope operation to remove the foreign body with percutaneous cardiopulmonary support (PCPS). After removal of the foreign body, cardiopulmonary function improved, and the patient recovered without any neurological dificits. PCPS was useful in maintaining good oxygenation during the rigid bronchoscopy in this particular case.