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Anesth Analg 2004;99:672-675
© 2004 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000130000.15786.82

CARDIOVASCULAR ANESTHESIA

Massive Pulmonary Hemorrhage After Pulmonary Thromboendarterectomy

Gerard R. Manecke, Jr., MD*, Andreas Kotzur, MD{dagger}, Gus Atkins, MD*, Peter F. Fedullo, MD{ddagger}, William R. Auger, MD{ddagger}, David P. Kapelanski, MD§, and Stuart W. Jamieson, MB FRCS§

Departments of *Anesthesiology and {dagger}Cardiac Anesthesiology, {ddagger}Division of Pulmonary Medicine, and §Department of Surgery, Division of Cardiothoracic Surgery, University of California-San Diego Medical Center, La Jolla, California

Address correspondence and reprint requests to Gerard R. Manecke Jr, MD, Department of Anesthesiology, Thornton Hospital, 9300 Campus Point Dr., La Jolla, CA 92037–7770. Address e-mail to gmanecke{at}ucsd.edu

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.

IMPLICATIONS: Massive pulmonary hemorrhage is a potentially devastating complication of pulmonary thromboendarterectomy. Anesthesiologists involved in pulmonary artery surgery must be prepared to treat this complication with a variety of techniques.




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G. R. Manecke Jr, W. C. Wilson, W. R. Auger, and S. W. Jamieson
Chronic Thromboembolic Pulmonary Hypertension and Pulmonary Thromboendarterectomy
Seminars in Cardiothoracic and Vascular Anesthesia, September 1, 2005; 9(3): 189 - 204.
[Abstract] [PDF]


Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2004 by the International Anesthesia Research Society.