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- Title
TEE diagnosis of sudden hypoxia three days post pulmonary thromboendarterectomy - a case report.
- Authors
Bartkowiak, Tomasz; Meineri, Massimiliano; De Perrot, Marc; Kusza, Krzysztof; Wąsowicz, Marcin
- Abstract
Background. Pulmonary thrombendarterectomy is a complex cardiac operation performed in patient suffering from chronic pulmonary embolism, which leads to pulmonary hypertension. Operation is being conducted with use of cardiopulmonary bypass and circulatory arrest and is aiming at removal of organized thrombi from pulmonary arteries. Case report. We present a case of an unusual post-operative complication [1] where transesophageal echocardiography (TEE) led to prompt diagnosis of localized right atrial compression and a new right to left shunt. These findings changed the course of treatment, eliminated need of ECMO and prompted a therapeutic chest re-exploration.
- Subjects
DIAGNOSIS; ENDARTERECTOMY; TRANSESOPHAGEAL echocardiography; SURGICAL complications; CARDIOPULMONARY bypass; HYPOXEMIA; ATRIAL septal defects; PULMONARY hypertension
- Publication
Anaesthesiology & Rescue Medicine / Anestezjologia i Ratownictwo, 2020, Vol 14, Issue 4, p323
- ISSN
1898-0732
- Publication type
Article