ty -jour a2 -al -saad，samer au -visanthan，vishnu au -Halloran，Kieran au -Puttagunta，Lakshmi au -Nagendran，Jayan PY -2016 DA- 2016/2016/12/14 TI-of Pulmonary Tumor Embolism SP - 3257084 VL - 2016 AB - Bridging to diagnosis is an emerging technique used in end-stage cardiorespiratory failure that prolongs a patient’s life using various modalities of extracorporeal lung support (ECLS) to achieve antemortem diagnosis. Pulmonary tumor embolism occurs when cell clusters travel from primary malignancies through venous circulation to the lungs, causing respiratory failure through inflammatory and venoocclusive pathways. Due to its nonspecific symptomatology, pulmonary tumor embolism remains an elusive diagnosis antemortem. Herein, we bridge a patient who presented in acute respiratory failure to the diagnosis of pulmonary tumor embolism from a gastric signet-ring cell carcinoma using ECLS modalities including venoarterial extracorporeal membrane oxygenation and centrally cannulated Novalung pumpless extracorporeal lung assist. We demonstrate the utility of this approach in diagnostically uncertain cases in unstable patients who are potentially acceptable ECLS and transplant candidates. SN - 2090-6846 UR - https://doi.org/10.1155/2016/3257084 DO - 10.1155/2016/3257084 JF - Case Reports in Pulmonology PB - Hindawi Publishing Corporation KW - ER -