title: Massive pulmonary hemorrhage after pulmonary thromboendarterectomy.
abstract: Pulmonary thromboendarterectomy, the most common surgical treatment of chronic thromboembolic pulmonary hypertension, is being performed with increasing frequency throughout the world. Massive pulmonary hemorrhage is a potentially fatal complication of this procedure. In this report of three such cases, the diagnosis, clinical course, and possible treatments are discussed. Anesthesiologists involved in the care of patients receiving pulmonary thromboendarterectomy must be aware of the possibility of this complication, as well as the various techniques available for its treatment.
authors.affiliation: Departments of *Anesthesiology and †Cardiac Anesthesiology, ‡Division of Pulmonary Medicine, and §Department of Surgery, Division of Cardiothoracic Surgery, University of California-San Diego Medical Center, La Jolla, California.
authors.forename: Gerard R
authors.initials: GR
authors.lastname: Manecke
authors.forename: Andreas
authors.initials: A
authors.lastname: Kotzur
authors.forename: Gus
authors.initials: G
authors.lastname: Atkins
authors.forename: Peter F
authors.initials: PF
authors.lastname: Fedullo
authors.forename: William R
authors.initials: WR
authors.lastname: Auger
authors.forename: David P
authors.initials: DP
authors.lastname: Kapelanski
authors.forename: Stuart W
authors.initials: SW
authors.lastname: Jamieson
mesh_terms: D000368:Aged; D002315:Cardiopulmonary Bypass / Q000009:adverse effects; D002908:Chronic Disease; D004691:Endarterectomy / Q000009:adverse effects*; D005260:Female; D006470:Hemorrhage / Q000209:etiology* / Q000628:therapy; D006801:Humans; D006976:Hypertension, Pulmonary / Q000601:surgery*; D008171:Lung Diseases / Q000209:etiology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000601:surgery*