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Pulmonary thromboendarterectomy and pulmonary haemorrhage

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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… Click to show full abstract

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.

Keywords: pulmonary thromboendarterectomy; pulmonary haemorrhage; circulation; thromboendarterectomy pulmonary; haemorrhage

Journal Title: Annals of Cardiac Anaesthesia
Year Published: 2022

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