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DOI: 10.1055/s-2001-9920
Inhaled Nitric Oxide for Pulmonary Hemorrhage Due to Acute Pulmonary Vein Trauma
Publikationsverlauf
Publikationsdatum:
31. Dezember 2001 (online)
A 57-year-old man with a history of prosthetic aortic valve and supracoronary ascending aortic replacement presented with a 9.8 cm Sinuses of Valsalvae aneurysm ruptured into the left upper pulmonary vein leading to massive pulmonary hemorrhage due to acute rupture of small pulmonary veins. Prosthetic graft replacement of the aneurysm and reconstruction of the atrial roof and left upper pulmonary vein was performed. Inhaled nitric oxide reversed treatment-refractory hypoxemia following massive small pulmonary vein trauma.
Key words:
Pulmonary vein trauma - Pulmonary hemorrhage - Inhaled nitric oxide
References
- 1 Fullerton D A, Jaggers J, Wollmering M M, Piedalue F, Grover F L, McIntyre R C Jr. Variable response to inhaled nitric oxide after cardiac surgery. Ann Thorac Surg. 1997; 63 1251-1256
- 2 Kirklin J W, Blackstone E H, Kirklin J K. Surgical results and protocols in the spectrum of tetralogy of Fallot. Ann Surg. 1983; 198 251-265
- 3 Cabrol C, Pavie A, Gandjbakhch I, Villemot J P, Guiraudon G, Laughlin L, Etievent P, Cham B. Complete replacement of the ascending aorta with reimplantation of the a conary arteries: new surgical approach. J Thorac Cardiovasc Surg. 1981; 81 309-315
- 4 Pinelli G, Mertes P M, Careaux J P, Hubert T, Dopff C, Brutin P, Villemot J P. Inhaled nitric oxide as an adjunct to pulmonary thrombendarterectomy. Ann Thorac Surg. 1996; 61 227-229
- 5 Beghetti M, Habre W, Friedli B, Berner M. Continuous low dose inhaled nitric oxide for treatment of severe pulmonary hypertension after cardiac surgery in pediatric patients. Br Heart J. 1995; 73 65-68
- 6 Lonnqvist P A, Winberg P, Lundell B, Sellden H, Olsson G L. Inhaled nitric oxide in neonates and children with pulmonary hypertension. Acta Paediatr. 1994; 83 1132-1136
- 7 Lewandowski K, Rossaint R, Pappert D, Gerlach H, Slama K J, Weidemann H, Frey D J, Hoffmann O, Keske U, Falke K J. High survival rate in 122 ARDS patients managed according to a clinical algorithm including extracorporeal membrane oxygenation. Intensive Care Med. 1997; 23 819-835
- 8 Mullerworth M H, Angelopoulos P, Couyant M A, Horton A M, Robinson S M, Petring O U, Mitchell P J, Presneill J J. Recognition and Management of catheter-induced pulmonary artery rupture. Ann Thorac Surg. 1998; 66 1242-1245
Received for Publication: April 15, 2000
Paul R. Vogt,MD, FETCS
Clinic for Cardiovascular Surgery University Hospital, Rämistraße 100
8091 Zurich, Switzerland
Telefon: 0041 1 255 11 11
Fax: 0041 1 255 44 46
eMail: paul.vogt@chi.usz.ch