Venovenous Extracorporeal Membrane Oxygenation for Noncardiogenic Pulmonary Edema After Coronary Bypass Surgery

Katz, Nevin M.; Buchholz, Bryan J.; Howard, Edward; O’Connell, Joe; DePellegrini, Kathleen; Wallace, Robert B.

doi:10.1016/s0003-4975(10)64668-1

Cited by 2 publications

(1 citation statement)

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“…Risk factors include Chronic Obstructive Pulmonary Disease (COPD), pulmonary hypertension, right ventricular dysfunction, and increased CPB time. A report of REPE following conventional (sternotomy) coronary bypass surgery described an association with transfusion of fresh frozen plasma, which was not a factor in our case . Draining pleural effusions is a common practice during cardiac surgery.…”

Section: Discussionmentioning

confidence: 52%

Severe re‐expansion pulmonary edema after conventional cardiac surgery: Identification and management

et al. 2019

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Re-expansion Pulmonary Edema (REPE) is a recognized but rare complication of lung re-inflation after pathologic collapse or intentional deflation. The presentation of REPE may be highly variable, ranging from a clinically asymptomatic, incidental radiologic finding to acute respiratory failure accompanied by severe, life-threatening hypoxemia. With the current report, we present a patient with severe aortic insufficiency, severe mitral regurgitation, coronary artery disease, pulmonary hypertension, who underwent aortic valve replacement, mitral valvuloplasty, coronary artery bypass grafting, and developed at the immediate post-operative period severe respiratory failure due to REPE, requiring venous-venous Extracorporeal Membrane Oxygenation (VV-ECMO).

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Section: Discussionmentioning

confidence: 52%