Inhaled nitric oxide for pulmonary hemorrhage due to acute pulmonary vein trauma.
A 57-year-old man with a history of prosthetic aortic valve and supracoronary ascending aortic replacement presented with a 9.8 cm Sinuses of Valsalvae aneurysm ruptured into the left upper pulmonary vein leading to massive pulmonary hemorrhage due to acute rupture of small pulmonary veins. Prosthetic graft replacement of the aneurysm and reconstruction of the atrial roof and left upper pulmonary vein was performed. Inhaled nitric oxide reversed treatment-refractory hypoxemia following massive small pulmonary vein trauma.
Clinic for Cardiovascular Surgery, and University Hospital Zurich, Switzerland. paul.vogt@chi.usz.ch
P R
PR
Vogt
D
D
Schmidlin
E
E
Bernard
D
D
Bettex
O R
OR
Germann
D000280:Administration, Inhalation; D001019:Aortic Rupture / Q000150:complications; D001993:Bronchodilator Agents / Q000627:therapeutic use*; D006470:Hemorrhage / Q000188:drug therapy* / Q000209:etiology; D006801:Humans; D008171:Lung Diseases / Q000188:drug therapy* / Q000209:etiology; D008297:Male; D008875:Middle Aged; D009569:Nitric Oxide / Q000627:therapeutic use*; D011667:Pulmonary Veins / Q000293:injuries*; D012850:Sinus of Valsalva
D001993:Bronchodilator Agents; D009569:Nitric Oxide