title: Perioperative issues due to long-standing lung collapse during repair of a large ascending aortic aneurysm.
abstract: Acute lung collapse during open-heart surgery may potentially lead to problems such as inadequate gas exchange, increased pulmonary vascular resistance, increased afterload to the right ventricle, and difficulty in weaning from cardiopulmonary bypass (CPB). Therefore, expansion of the lungs is ensured prior to separation from CPB. We report the inability to manually expand a chronically collapsed lung during the repair of ascending aortic aneurysm. The collapsed lung did not pose difficulty in separation from CPB and in blood gas management during the perioperative period. We discuss perioperative management issues in such situations.
authors.affiliation: Department of Anaesthesiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India. praveenneema@yahoo.co.in
authors.forename: Praveen Kumar
authors.initials: PK
authors.lastname: Neema
authors.forename: Praveen Kerala
authors.initials: PK
authors.lastname: Varma
authors.forename: Sethuraman
authors.initials: S
authors.lastname: Manikandan
authors.forename: Ramesh Chandra
authors.initials: RC
authors.lastname: Rathod
mesh_terms: D001014:Aortic Aneurysm / Q000150:complications* / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D002315:Cardiopulmonary Bypass; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008875:Middle Aged; D019990:Perioperative Care; D011183:Postoperative Complications; D001261:Pulmonary Atelectasis / Q000150:complications* / Q000628:therapy*