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General Thoracic and Cardiovascular Surgery

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01-03-2017 | Case Report

Successful management of severe unilateral re-expansion pulmonary edema after mitral valve repair with mini-thoracotomy using extracorporeal membrane oxygenation

Authors: Hiroto Kitahara, Kazuma Okamoto, Mikihiko Kudo, Akihiro Yoshitake, Kanako Hayashi, Yu Inaba, Kimiaki Ai, Takeshi Suzuki, Hiroshi Morisaki, Hideyuki Shimizu

Published in: General Thoracic and Cardiovascular Surgery | Issue 3/2017

Abstract

A 60-year-old man received mitral valve repair via right mini-thoracotomy, which was followed by unilateral re-expansion pulmonary edema on the right side and severe hemoptysis just after the surgery. Despite differential lung ventilation with unilateral high positive end expiratory pressure was initiated for the affected right lung, respiratory function did not improved and hemodynamics was collapsed in the next day. Veno-venous extracorporeal membrane oxygenation was initiated by cannulation of the right jugular and the left femoral vein. After pulmonary function recovered gradually, veno-venous extracorporeal membrane oxygenation was terminated on the fifth postoperative day. He was discharged in ambulatory condition on postoperative day 52.

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Title: Successful management of severe unilateral re-expansion pulmonary edema after mitral valve repair with mini-thoracotomy using extracorporeal membrane oxygenation
Authors: Hiroto Kitahara
Kazuma Okamoto
Mikihiko Kudo
Akihiro Yoshitake
Kanako Hayashi
Yu Inaba
Kimiaki Ai
Takeshi Suzuki
Hiroshi Morisaki
Hideyuki Shimizu
Publication date: 01-03-2017
Publisher: Springer Japan
Published in: General Thoracic and Cardiovascular Surgery / Issue 3/2017
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI: https://doi.org/10.1007/s11748-015-0592-1

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Successful management of severe unilateral re-expansion pulmonary edema after mitral valve repair with mini-thoracotomy using extracorporeal membrane oxygenation

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

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