The effectiveness of the "open chest" for the unstable patient after bilateral sequential lung transplantation.
Respiratory or hemodynamic instability after lung transplantation is one of the most challenging experiences a lung transplant surgeon and anesthesiologist face. We used an "open chest" approach as a feasible modality for managing these difficult patients. In this single-institution review of patients managed with this technique, we report the criteria for consideration, technical aspects, and overall effectiveness of this peri-operative strategy.
D'Cunha
Jonathan
J
Division of General Thoracic and Foregut Surgery, Department of Surgery, University of Minnesota, Minneapolis, Minnesota 55455, USA. dcunh001@umn.edu
Rueth
Natasha M
NM
Belew
Birtukan
B
Herrington
Cynthia S
CS
Hertz
Marshall I
MI
Kelly
Rosemary F
RF
Shumway
Sara J
SJ
D000328:Adult; D003550:Cystic Fibrosis / Q000601:surgery; D005260:Female; D006439:Hemodynamics / Q000502:physiology*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000601:surgery; D008168:Lung / Q000601:surgery*; D008171:Lung Diseases / Q000601:surgery; D016040:Lung Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011658:Pulmonary Fibrosis / Q000601:surgery; D012143:Respiratory Physiological Phenomena; D012189:Retrospective Studies; D019616:Thoracic Surgical Procedures / Q000379:methods*; D016896:Treatment Outcome