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Pulmonary thromboendarterectomy and pulmonary haemorrhage


Department of Anaesthesiology, Singapore General Hospital; Department of Cardiothoracic Anaesthesia, National Heart Centre, Singapore

Correspondence Address:
Nian Chih Hwang
Department of Anaesthesiology, Singapore General Hospital, 1 Hospital Drive, 169608
Singapore
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.aca_247_20

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Year : 2022  |  Volume : 25  |  Issue : 2  |  Page : 200-201

 

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Pulmonary thromboendarterectomy surgery is the recommended treatment for patients with chronic thromboembolic pulmonary hypertension. Massive intraoperative pulmonary haemorrhage with bleeding into the airway is a rare complication, and it typically presents as cardiopulmonary bypass flow is reduced and blood begins to flow through the pulmonary circulation. Immediate management includes maintaining extracorporeal circulation to reduce blood flow through the pulmonary circulation, isolation of the affected lung, while the surgeon identifies and repairs the site of haemorrhage.






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Department of Anaesthesiology, Singapore General Hospital; Department of Cardiothoracic Anaesthesia, National Heart Centre, Singapore

Correspondence Address:
Nian Chih Hwang
Department of Anaesthesiology, Singapore General Hospital, 1 Hospital Drive, 169608
Singapore
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.aca_247_20

Rights and Permissions

Pulmonary thromboendarterectomy surgery is the recommended treatment for patients with chronic thromboembolic pulmonary hypertension. Massive intraoperative pulmonary haemorrhage with bleeding into the airway is a rare complication, and it typically presents as cardiopulmonary bypass flow is reduced and blood begins to flow through the pulmonary circulation. Immediate management includes maintaining extracorporeal circulation to reduce blood flow through the pulmonary circulation, isolation of the affected lung, while the surgeon identifies and repairs the site of haemorrhage.






[FULL TEXT] [PDF]*


        
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