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

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

doi:10.1007/s11748-015-0592-1

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

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

Research output: Contribution to journal › Article › peer-review

8 Citations (Scopus)

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.

Original language	English
Pages (from-to)	164-166
Number of pages	3
Journal	General thoracic and cardiovascular surgery
Volume	65
Issue number	3
DOIs	https://doi.org/10.1007/s11748-015-0592-1
Publication status	Published - 2017 Mar 1

Keywords

Minimally invasive cardiac surgery
Mitral valve repair
Re-expansion pulmonary edema
Veno-venous extracorporeal membrane oxygenation

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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10.1007/s11748-015-0592-1

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Kitahara, H., Okamoto, K., Kudo, M., Yoshitake, A., Hayashi, K., Inaba, Y., Ai, K., Suzuki, T., Morisaki, H., & Shimizu, H. (2017). Successful management of severe unilateral re-expansion pulmonary edema after mitral valve repair with mini-thoracotomy using extracorporeal membrane oxygenation. General thoracic and cardiovascular surgery, 65(3), 164-166. https://doi.org/10.1007/s11748-015-0592-1

Successful management of severe unilateral re-expansion pulmonary edema after mitral valve repair with mini-thoracotomy using extracorporeal membrane oxygenation. / Kitahara, Hiroto; Okamoto, Kazuma; Kudo, Mikihiko et al.
In: General thoracic and cardiovascular surgery, Vol. 65, No. 3, 01.03.2017, p. 164-166.

Research output: Contribution to journal › Article › peer-review

Kitahara, H, Okamoto, K, Kudo, M, Yoshitake, A, Hayashi, K, Inaba, Y, Ai, K, Suzuki, T, Morisaki, H & Shimizu, H 2017, 'Successful management of severe unilateral re-expansion pulmonary edema after mitral valve repair with mini-thoracotomy using extracorporeal membrane oxygenation', General thoracic and cardiovascular surgery, vol. 65, no. 3, pp. 164-166. https://doi.org/10.1007/s11748-015-0592-1

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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.",

keywords = "Minimally invasive cardiac surgery, Mitral valve repair, Re-expansion pulmonary edema, Veno-venous extracorporeal membrane oxygenation",

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AU - Yoshitake, Akihiro

AU - Hayashi, Kanako

AU - Inaba, Yu

AU - Ai, Kimiaki

AU - Suzuki, Takeshi

AU - Morisaki, Hiroshi

AU - Shimizu, Hideyuki

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AB - 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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KW - Veno-venous extracorporeal membrane oxygenation

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

Abstract

Keywords

ASJC Scopus subject areas

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