Case Report: Prolonged extracorporeal membrane oxygenation as a deliberate operative adjunct for tracheobronchial reconstruction in a child with invasive aspergillosis - Takeaways - MDSpire

Case Report: Prolonged extracorporeal membrane oxygenation as a deliberate operative adjunct for tracheobronchial reconstruction in a child with invasive aspergillosis

  • By

  • Marcin Łosin

  • Wojciech Karolak

  • Romuald Lango

  • Witold Rzyman

  • Monika Rosinski

  • Weronika Lotkowska

  • Piotr Czauderna

  • May 28, 2026

  • 0 min

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  • 1

    A 6-year-old boy with type 1 diabetes developed a massive tracheo-esophageal fistula due to invasive mediastinal aspergillosis.

  • 2

    Prolonged extracorporeal membrane oxygenation (ECMO) support totaling 96 days was required due to refractory respiratory and right ventricular failure.

  • 3

    Definitive airway reconstruction was achieved using a vascularized autologous esophageal muscular flap in a heavily infected field.

  • 4

    Antifungal therapy was initiated after histopathological confirmation of Aspergillus hyphae and adjusted for hepatic dysfunction.

  • 5

    The case highlights ECMO's role as a bridge to complex airway reconstruction in pediatric patients with destructive invasive fungal disease.

Original Source(s)

Case Report: Prolonged extracorporeal membrane oxygenation as a deliberate operative adjunct for tracheobronchial reconstruction in a child with invasive aspergillosis

  • by Marcin Łosin, Wojciech Karolak, Romuald Lango, Witold Rzyman, Monika Rosinski, Weronika Lotkowska, Piotr Czauderna

  • May 28, 2026

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