Skip to main content
Top
Published in: Journal of Cardiothoracic Surgery 1/2014

Open Access 01-12-2014 | Case report

Transfusion related acute lung injury with massive pulmonary secretion during cardiac surgery. A case report

Authors: Julien Teodori, Kamal Rampersad, Giovanni Teodori, Roland Roopchand, Gianni Davide Angelini

Published in: Journal of Cardiothoracic Surgery | Issue 1/2014

Login to get access

Abstract

A Indo-Caribbean patient undergoing cardiac surgery developed Transfusion Related Acute Lung Injury (TRALI) with massive endobronchial secretion of clear fluid mimicking severe pulmonary edema. Hypoxemia and lung stiffness were so severe that didn’t allow closure of the sternum on completion of surgery. The patient was treated with invasive ventilation, high positive pressure and % FiO2 and aggressive endotracheal suction. After several hours, secretions reduced spontaneously and the patient made an uneventful recovery.
Literature
1.
go back to reference Vlaar APJ, Hofstra JJ, Determann RM: The incidence, risk factors, and outcome of transfusion-related acute lung injury in a cohort of cardiac surgery patients: a prospective nested case control study. Blood. 2011, vol. 117 (no. 16): 4218-4225. 10.1182/blood-2010-10-313973.CrossRef Vlaar APJ, Hofstra JJ, Determann RM: The incidence, risk factors, and outcome of transfusion-related acute lung injury in a cohort of cardiac surgery patients: a prospective nested case control study. Blood. 2011, vol. 117 (no. 16): 4218-4225. 10.1182/blood-2010-10-313973.CrossRef
2.
go back to reference Kleinman S: A perspective on transfusion-related acute lung injury two years after the Canadian Consensus Conference. Transfusion. 2006, 46: 1465-1468. 10.1111/j.1537-2995.2006.00956.x.CrossRefPubMed Kleinman S: A perspective on transfusion-related acute lung injury two years after the Canadian Consensus Conference. Transfusion. 2006, 46: 1465-1468. 10.1111/j.1537-2995.2006.00956.x.CrossRefPubMed
3.
go back to reference Holness L, Knippen MA, Simmons L, Lachenbruch PA: Fatalities caused by TRALI. Transfus Med Rev. 2004, 18: 184-188. 10.1016/j.tmrv.2004.03.004.CrossRefPubMed Holness L, Knippen MA, Simmons L, Lachenbruch PA: Fatalities caused by TRALI. Transfus Med Rev. 2004, 18: 184-188. 10.1016/j.tmrv.2004.03.004.CrossRefPubMed
4.
go back to reference Silliman CC, Ambruso DR, Boshkov LK: Transfusion-related acute lung injury. Blood. 2005, 105: 2266-2273. 10.1182/blood-2004-07-2929.CrossRefPubMed Silliman CC, Ambruso DR, Boshkov LK: Transfusion-related acute lung injury. Blood. 2005, 105: 2266-2273. 10.1182/blood-2004-07-2929.CrossRefPubMed
5.
go back to reference Vlaar APJ, Juffermans NP: Transfusion-related acute lung injury: a clinical review. The Lancet. 2013, 382 (9896): 984-994. 10.1016/S0140-6736(12)62197-7.CrossRef Vlaar APJ, Juffermans NP: Transfusion-related acute lung injury: a clinical review. The Lancet. 2013, 382 (9896): 984-994. 10.1016/S0140-6736(12)62197-7.CrossRef
6.
go back to reference Kleinman S, Caulfield T, Chan P, Davenport R, McFarland J, McPhedran S, Meade M, Morrison D, Pinsent T, Robillard P, Slinger P: Toward an understanding of transfusion-related acute lung injury: statement of a consensus panel. Transfusion. 2004, 44 (12): 1774-1789. 10.1111/j.0041-1132.2004.04347.x.CrossRefPubMed Kleinman S, Caulfield T, Chan P, Davenport R, McFarland J, McPhedran S, Meade M, Morrison D, Pinsent T, Robillard P, Slinger P: Toward an understanding of transfusion-related acute lung injury: statement of a consensus panel. Transfusion. 2004, 44 (12): 1774-1789. 10.1111/j.0041-1132.2004.04347.x.CrossRefPubMed
7.
go back to reference Moore SB: Transfusion-related acute lung injury (TRALI): clinical presentation, treatment, and prognosis. Crit Care Med. 2006, 34: S114-S117. 10.1097/01.CCM.0000214312.20718.3E.CrossRefPubMed Moore SB: Transfusion-related acute lung injury (TRALI): clinical presentation, treatment, and prognosis. Crit Care Med. 2006, 34: S114-S117. 10.1097/01.CCM.0000214312.20718.3E.CrossRefPubMed
8.
go back to reference Marik PE, Corwin HL: Acute lung injury following blood transfusion: expanding the definition. Crit Care Med. 2008, 36: 3080-3084. 10.1097/CCM.0b013e31818c3801.CrossRefPubMed Marik PE, Corwin HL: Acute lung injury following blood transfusion: expanding the definition. Crit Care Med. 2008, 36: 3080-3084. 10.1097/CCM.0b013e31818c3801.CrossRefPubMed
9.
go back to reference Finlayson J, Grey D, Kavanagh L, Witt C: Transfusion-related acute lung injury in a neutropenic patient. Intern Med J. 2011, 41 (8): 638-641. 10.1111/j.1445-5994.2010.02366.x.CrossRefPubMed Finlayson J, Grey D, Kavanagh L, Witt C: Transfusion-related acute lung injury in a neutropenic patient. Intern Med J. 2011, 41 (8): 638-641. 10.1111/j.1445-5994.2010.02366.x.CrossRefPubMed
10.
go back to reference Sayah DM, Looney MR, Toy P: Transfusion reactions: newer concepts on the pathophysiology, incidence, treatment, and prevention of transfusion-related acute lung injury. Crit Care Clin. 2012, 28 (3): 363-372. 10.1016/j.ccc.2012.04.001.CrossRefPubMedPubMedCentral Sayah DM, Looney MR, Toy P: Transfusion reactions: newer concepts on the pathophysiology, incidence, treatment, and prevention of transfusion-related acute lung injury. Crit Care Clin. 2012, 28 (3): 363-372. 10.1016/j.ccc.2012.04.001.CrossRefPubMedPubMedCentral
Metadata
Title
Transfusion related acute lung injury with massive pulmonary secretion during cardiac surgery. A case report
Authors
Julien Teodori
Kamal Rampersad
Giovanni Teodori
Roland Roopchand
Gianni Davide Angelini
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Journal of Cardiothoracic Surgery / Issue 1/2014
Electronic ISSN: 1749-8090
DOI
https://doi.org/10.1186/1749-8090-9-64

Other articles of this Issue 1/2014

Journal of Cardiothoracic Surgery 1/2014 Go to the issue