A Case of Successful Management with Percutaneous Cardiopulmonary Support for Pulmonary Hypertension Associated with Pneumonectomy in Blunt Bronchial Injury

Autor:	Satoshi Gando, Naoyuki Matsuda, Mineji Hayakawa, Satoshi Nanzaki, Takashi Kameue, Hirokatsu Hoshino
Rok vydání:	2004
Předmět:	Bronchus medicine.medical_specialty business.industry medicine.medical_treatment Bronchial Injury medicine.disease Pulmonary hypertension Surgery Pneumonectomy medicine.anatomical_structure Respiratory failure Hypoxic pulmonary vasoconstriction Medicine Intubation business Hemopneumothorax
Zdroj:	Nihon Kyukyu Igakukai Zasshi. 15:17-21
ISSN:	1883-3772 0915-924X
DOI:	10.3893/jjaam.15.17
Popis:	We report a patient with pulmonary hypertension complicated with pneumonectomy in blunt traumatic injury to the bronchus successfully managed by percutaneous cardiopulmonary support (POPS). A 4-year-old girl injured in a traffic accident was transferred to our hospital. She had thoracic injury with respiratory failure, and we diagnosed bilateral hemopneumothorax. Despite insertion of bilateral chest tubes and intubation, the left lung was not inflated, showing continued massive air leakage. Pneumonectomy of the left lung was performed for the left main bronchial injury. After the operation, PCPS was started because of pulmonary hypertension associated with deteriorated hemodynamics and oxygenation. Following this, the respiratory and hemodynamic states became stable. PCPS was continued for 5 days and the ventilator was needed for 11 days. The patient was discharged on day 52. We considered the pneumonectomy, contralateral lung contusion, drugs, hypoxic pulmonary vasoconstriction, and ventilator as causes of pulmonary hypertension. PCPS is one of the useful treatments for severe chest trauma.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::06caef7576a4c8de8a40ef6680f2c42d https://doi.org/10.3893/jjaam.15.17 Zobrazit plný text záznamu