Massive Endobronchial Hemorrhage after Cardiopulmonary Bypass Treated by Selective Bronchial Tamponade with a Bronchial Blocker Tube
10.4326/jjcvs.38.235
- VernacularTitle:人工心肺離脱後の大量気道出血に対して気管支ブロッカーによる選択的気管内タンポナーデ法が有効であった1例
- Author:
Takeshi Ikuta
;
Motohiko Osako
;
Masaya Kainuma
;
Hiroshi Irie
;
Hirofumi Fujii
;
Yoshihiro Shimizu
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2009;38(3):235-238
- CountryJapan
- Language:Japanese
-
Abstract:
We report a case of massive endobronchial hemorrhage after cardiopulmonary bypass, and its successful treatment utilizing a bronchial blocker tube without circulatory support. An 85-year-old woman underwent mitral and tricuspid valves repair for mitral stenosis and regurgitation, and tricuspid regurgitation. The repairs were performed uneventfully. The patient was weaned from cardiopulmonary bypass. After protamine infusion, massive endobronchial hemorrhage occurred through the tracheal tube. On fiberoptic bronchoscopy, prompt identification and selective occlusion of the hemorrhage source was performed by a Coopdech endobronchial blocker tube (Daiken Medical Co., Ltd, Osaka, Japan). Postoperative contrast-enhanced computed tomography revealed thrombogenic pseudoaneurysm of the right middle lobe pulmonary artery. We speculated that Swan-Ganz catheters induced endobronchial hemorrhage. The patient did not experience any further hemorrhage. She was discharged from our hospital on the 25th postoperative day in good condition.
