Management of Massive Pulmonary Hemorrhage Following Pulmonary Endarterectomy

Abstract

Massive pulmonary hemorrhage is a potentially fatal complication of pulmonary endarterectomy. We describe a successful management in which the patient's right lower lobe bronchus was occluded with a Fogarty balloon catheter while on peripheral venoarterial extracorporeal membrane oxygenation.

Keywords

pulmonary endarterectomy - extracorporeal membrane oxygenation - postoperative care

• References

• 1 Manecke Jr GR, Kotzur A, Atkins G , et al. Massive pulmonary hemorrhage after pulmonary thromboendarterectomy. Anesth Analg 2004; 99 (3) 672-675
• 2 Pretorius V, Alayadhi W, Modry D. Extracorporeal life support for the control of life-threatening pulmonary hemorrhage. Ann Thorac Surg 2009; 88 (2) 649-650
• 3 Mayer E, Jenkins D, Lindner J , et al. Surgical management and outcome of patients with chronic thromboembolic pulmonary hypertension: results from an international prospective registry. J Thorac Cardiovasc Surg 2011; 141 (3) 702-710
• 4 Pepke-Zaba J, Delcroix M, Lang I , et al. Chronic thromboembolic pulmonary hypertension (CTEPH): results from an international prospective registry. Circulation 2011; 124 (18) 1973-1981
• 5 Jamieson SW, Kapelanski DP, Sakakibara N , et al. Pulmonary endarterectomy: experience and lessons learned in 1,500 cases. Ann Thorac Surg 2003; 76 (5) 1457-1462 , discussion 1462–1464
• 6 Thistlethwaite PA, Madani MM, Kemp AD, Hartley M, Auger WR, Jamieson SW. Venovenous extracorporeal life support after pulmonary endarterectomy: indications, techniques, and outcomes. Ann Thorac Surg 2006; 82 (6) 2139-2145
• 7 Berman M, Tsui S, Vuylsteke A , et al. Successful extracorporeal membrane oxygenation support after pulmonary thromboendarterectomy. Ann Thorac Surg 2008; 86 (4) 1261-1267