Use of cardiopulmonary bypass for lung transplantation: a 10-year experience
| Autor: | Philippe Loirat, Marc Fischler, Pierre Bonnette, Alain Bisson, Marc Stern, Arnaud Geffroy, Isabelle Vinatier, M. Moutafis, Nicolas Dalibon |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
Male medicine.medical_specialty Blood transfusion medicine.medical_treatment law.invention law Monitoring Intraoperative Cardiopulmonary bypass medicine Lung transplantation Humans Retrospective Studies Mechanical ventilation Left lung Cardiopulmonary Bypass business.industry Graft Survival Middle Aged Pulmonary edema medicine.disease Surgery Dissection surgical procedures operative Anesthesiology and Pain Medicine Treatment Outcome Thoracotomy Female University teaching Cardiology and Cardiovascular Medicine business circulatory and respiratory physiology Follow-Up Studies Lung Transplantation |
| Zdroj: | Journal of cardiothoracic and vascular anesthesia. 20(5) |
| ISSN: | 1053-0770 |
| Popis: | Objective: The use of cardiopulmonary bypass (CPB) for lung transplantation (LTx) has been reported previously. This study reports the authors’ experience of planned and unplanned use of cardiopulmonary bypass for LTx. Design: Case series. Setting: A university teaching hospital. Participants: Patients undergoing LTx. Interventions: A retrospective analysis of the charts of all patients having undergone LTx over the last 10 years. Measurements and Main Results: Among 140 LTx, 23 (16%) were performed with the use of CPB. CPB was planned in 11 cases and unplanned in the 12 other cases. The use of CPB is associated with a longer period of postoperative mechanical ventilation, more pulmonary edema, more blood transfusion requirement, and an increase in postoperative mortality at 48 hours and 1 month. Surgical difficulties related to the dissection of the native left lung and acute right ventricular failure are the main reasons for unscheduled use of CPB. Conclusion: Scheduled and unscheduled CPB for LTx are associated with an increased mortality at 1 month and 1 year. |
| Databáze: | OpenAIRE |
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