Anesthesia Management for a Patient Undergoing Pulmonary Endarterctomy without Cardiopulmonary Bypass


SARAÇOĞLU A. , Ermerak O., Sirzai E. Y. S. , Yuksel M. , Aykac Z., YILDIZELİ B.

BRAZILIAN JOURNAL OF CARDIOVASCULAR SURGERY, cilt.34, sa.6, ss.783-787, 2019 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 34 Konu: 6
  • Basım Tarihi: 2019
  • Doi Numarası: 10.21470/1678-9741-2018-0245
  • Dergi Adı: BRAZILIAN JOURNAL OF CARDIOVASCULAR SURGERY
  • Sayfa Sayıları: ss.783-787

Özet

Pulmonary endarterectomy is a curative procedure for chronic thromboembolic Pulmonary Hypertension. As usual, cardiopulmonary bypass circuit is required. However, there are several complications attributed to extracorporeal circulation. Hemodilution, systemic inflammatory response syndrome and leukocyte sequestration are circulation related complications. The severe forms include Acute Respiratory Distress Syndrome, Acute Lung Injury, myocardial stunning, dysfunction of the right ventricle, coagulopathy, postoperative stroke or renal dysfunction. In this case report, we aimed to give information about perioperative anesthesia and surgical management of pulmonary endarterectomy which was successfully managed without Cardiopulmonary Bypass.