Early perioperative death associated with reexpansion pulmonary edema during liver transplantation.
Hydrothorax is a frequent finding in patients with end-stage liver disease. During the hepatectomy phase of liver transplantation, it is often needed to evacuate large pleural effusions. The acute expansion of the collapsed lung can cause reexpansion pulmonary edema with variable clinical significance. However, this complication has rarely been reported after liver transplantation. In conclusion, we report on an overwhelming reexpansion pulmonary edema during a liver transplantation that rapidly led to the patient's demise and speculate if this condition has not been under recognized in the transplantation setting.
Marujo
Wagner C
WC
Transplantation Program, Hospital Alemão Oswaldo Cruz, São Paulo, Brazil. wmarujo@uol.com.br
Takaoka
Flavio
F
Moura
Rita M A
RM
Pandullo
Fernando L
FL
Morrone
Andre R
AR
Linhares
Marcelo M
MM
Teruya
Alexandre
A
Altikes
Isaac
I
D018450:Disease Progression; D017809:Fatal Outcome; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis* / Q000628:therapy; D008103:Liver Cirrhosis / Q000175:diagnosis / Q000601:surgery; D017093:Liver Failure / Q000175:diagnosis / Q000601:surgery*; D016031:Liver Transplantation / Q000009:adverse effects* / Q000379:methods; D008297:Male; D008875:Middle Aged; D019990:Perioperative Care; D011654:Pulmonary Edema / Q000175:diagnosis* / Q000628:therapy; D012720:Severity of Illness Index