Open AccessPulmonary thromboendarterectomy and pulmonary haemorrhage
Author(s) -
Andrew Roscoe,
Nian Chih Hwang
Publication year - 2022
Publication title -
annals of cardiac anaesthesia/annals of cardiac anaesthesia
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.42
H-Index - 27
eISSN - 0974-5181
pISSN - 0971-9784
DOI - 10.4103/aca.aca_247_20
Subject(s) - pulmonary thromboendarterectomy , medicine , extracorporeal circulation , cardiopulmonary bypass , pulmonary hypertension , complication , lung , cardiology , surgery , anesthesia , chronic thromboembolic pulmonary hypertension
Pulmonary thromboendarterectomy surgery is the recommended treatment for patients with chronic thromboembolic pulmonary hypertension. Massive intraoperative pulmonary haemorrhage with bleeding into the airway is a rare complication, and it typically presents as cardiopulmonary bypass flow is reduced and blood begins to flow through the pulmonary circulation. Immediate management includes maintaining extracorporeal circulation to reduce blood flow through the pulmonary circulation, isolation of the affected lung, while the surgeon identifies and repairs the site of haemorrhage.