Massive pulmonary hemorrhage after pulmonary thromboendarterectomy.
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.
Manecke
Gerard R
GR
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.
Kotzur
Andreas
A
Atkins
Gus
G
Fedullo
Peter F
PF
Auger
William R
WR
Kapelanski
David P
DP
Jamieson
Stuart W
SW
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*