Perioperative issues due to long-standing lung collapse during repair of a large ascending aortic aneurysm.
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Date
2008
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Annals of cardiac anaesthesia
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.
Description
Keywords
Critical Care
Citation
Annals of cardiac anaesthesia. 11; 2; 119-22