医学
体外膜肺氧合
体外循环
肺水肿
低氧血症
麻醉
二尖瓣
二尖瓣修补术
二尖瓣置换术
心脏病学
外科
并发症
肺
内科学
作者
Dan Viox,Richa Dhawan,Husam H. Balkhy,Daniel Cormican,Himani V. Bhatt,Andre Savadjian,Mark A. Chaney
标识
DOI:10.1053/j.jvca.2021.03.051
摘要
Unilateral pulmonary edema (UPE) is an uncommon yet potentially life-threatening complication of minimally invasive cardiac surgery (MICS). Most frequently described after robotically assisted mitral valve (MV) repair, it is characterized by right lung edema, hypoxemia, hypercapnia, pulmonary hypertension, and hemodynamic instability beginning minutes-to-hours after separation from cardiopulmonary bypass (CPB). The authors describe a severe case with refractory hypoxemia requiring veno-venous (VV) extracorporeal membrane oxygenation (ECMO) after robotically assisted MV repair.
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