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Management of intrapulmonary hemorrhage in patients undergoing pulmonary thrombo-endarterectomy
We present three challenging cases that developed intrapulmonary hemorrhage during/after PTE and managed successfully. The first patient had bleeding from the bronchial artery and right internal mammary collaterals, which was managed by coil-embolization. The second patient had a breach in the blood airway barrier in the right upper lobar segment of the lung, and the repair was done using a surgical absorbable hemostat. The third patient developed reperfusion injury, he was instituted on veno-venous extracorporeal membranous oxygenation, a week later, the patient recovered completely. An algorithm was adopted and modified ...
Source: Annals of Cardiac Anaesthesia - July 16, 2021 Category: Anesthesiology Authors: Muralidhar Kanchi Hema C Nair Pooja Natarajan Julius Punnen Varun Shetty Sanjay Orathi Patangi Deviprasad Shetty Kumar Belani Source Type: research