Postoperative Bleeding from the Right Lung after Aortic Root Replacement Treated Successfully with ECMO in a Patient Who Underwent Radical Operation for Tetralogy of Fallot 38 Years Ago

VernacularTitle:TOF 術後38年目に大動脈基部置換術を施行後，右肺出血を発症し ECMO にて救命し得た1症例
Author: Yasuhiko Kobayashi ; Masataka Mitsuno ; Mitsuhiro Yamamura ; Hiroe Tanaka ; Masaaki Ryomoto ; Hiroyuki Nishi ; Shinya Fukui ; Noriko Tsujiya ; Tetsuya Kajiyama ; Yuji Miyamoto
Publication Type:Journal Article
Keywords: ECMO
From:Japanese Journal of Cardiovascular Surgery 2009;38(1):75-78
CountryJapan
Language:Japanese
Abstract: We successfully performed aortic root replacement in an asymptomatic 52 year-old man with dilatation of the Valsalva sinuses (75 mm). The patient had previously undergone a radical operation for the tetralogy of Fallot at 13 years of age and AVR at 46 years of age. Massive bleeding occurred in the lungs after weaning from CPB. Emergency bronchoscopy revealed that the bleeding came from the right middle and lower lobes. The bleeding was stopped conservatively on POD 3 ; however, V-V ECMO was started on POD 5 because of severe hypoxia. ECMO was successfully weaned on POD 11 and he discharged on POD 59. The presence of developed bronchial collaterals and barotrauma during the operation were speculated the causes of the bleeding from the right lung.