- The Japanese Society for Cardiovascular Surgery Mission & Statement 2012

Japanese Journal of Cardiovascular Surgery Vol43,No3

Two Cases of Reexpansion Pulmonary Edema after Cardiac Surgery

Tomomitsu KanayaHiroki Hata and Nobuo Sakagoshi

(Department of Cardiovascular Surgery, Kinan Hospital, Tanabe, Japan)

A 54-year-old man with ischemic mitral regurgitation underwent surgical ventricular restoration, mitral valve plasty and a coronary artery bypass. A chest X-ray 7 days later revealed pleural effusion on the right side. A chest tube was inserted and about 1,000ml of fluid was drained. However, re-expansion pulmonary edema(RPE)occurred 2h later. Positive pressure ventilation and intravenous infusion with a diuretic improved the RPE. He was resuscitated on the following day to receive percutaneous cardiopulmonary support(PCPS)for unstable hypoxemia and hypotension. Oxygenation improved, PCPS was withdrawn 2 days later, and the endotracheal tube was removed. Re-expansion pulmonard. He was resuscitated on the following day to receive percutaneous cardiopulmonary support(PCPS)for unstable hypoxemia and hypotension. Oxygenation improved, PCPS was withdrawn 2 days later, and the endotracheal tube was removed. Re-expansion pulmonary edema might cause fatal short-term cardio-respiratory failure. We considered that RPE requires appropriate early diagnosis, early treatment and aggressive therapy, including PCPS.

 

Jpn. J. Cardiovasc. Surg. 43:138-141(2014)

Keywords:cardiac surgery;reexpansion pulmonary edema;PCPS


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