Reperfusion Pulmonary Edema after Pulmonary Endarterectomy

Pulmonary artery thromboendarterectomy is a potentially curative procedure in chronic, major vessel thromboembolic pulmonary hypertension. However, persistent pulmonary hypertension and unrelenting reperfusion edema have serious complications, often requiring prolonged mechanical ventilation. A 50-year-old man who was diagnosed with a thromboembolism in both pulmonary arteries underwent a bilateral pulmonary endarterectomy. He received 02-isoflurane-fentanyl anesthesia. When the lungs were reperfused with CPB weaning, massive hemorrhage occurred in the left lung. After the operation, the patient was taken to the intensive care unit. Mechanical ventilation was performed immediately and then both inhaled NO and i.v. furosemide therapies were administered. The patient was discharged from ICU 15 days postoperation.

並列關鍵字

Pulmonary artery ； Endarterectomy ； Reperfusion injury ； Nitric oxide

被引用紀錄

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延伸閱讀

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國際替代計量

Reperfusion Pulmonary Edema after Pulmonary Endarterectomy

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