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Title: Perioperative issues due to long-standing lung collapse during repair of a large ascending aortic aneurysm.
Authors: Neema, Praveen Kumar
Varma, Praveen Kerala
Manikandan, Sethuraman
Rathod, Ramesh Chandra
Keywords: Critical Care
Issue Date: 2008
Publisher: Annals of cardiac anaesthesia
Citation: Annals of cardiac anaesthesia. 11; 2; 119-22
Abstract: Acute lung collapse during open-heart surgery may potentially lead to problems such as inadequate gas exchange, increased pulmonary vascular resistance, increased afterload to the right ventricle, and difficulty in weaning from cardiopulmonary bypass (CPB). Therefore, expansion of the lungs is ensured prior to separation from CPB. We report the inability to manually expand a chronically collapsed lung during the repair of ascending aortic aneurysm. The collapsed lung did not pose difficulty in separation from CPB and in blood gas management during the perioperative period. We discuss perioperative management issues in such situations.
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