Abstract
We report a case of severe intraoperative pulmonary edema during living related liver transplantation (LRLT) surgery. A 60-year-old woman with end-stage primary biliary cirrhosis underwent LRLT. After administration of several units of packed red blood cells and fresh frozen plasma, a gradual decline in oxygen saturation was observed. After an unexpectedly prolonged ahepatic phase, she developed severe pulmonary edema and critical hypoxemia. Further deterioration of hypoxemia was observed after reperfuion of the portal vein. We conclude that this severe pulmonary edema was caused by transfusion related acute lung injury, and prolonged ahepatic phase with reperfusion injury deteriorated the lung condition.
| Original language | English |
|---|---|
| Pages (from-to) | 925-928 |
| Number of pages | 4 |
| Journal | Japanese Journal of Anesthesiology |
| Volume | 53 |
| Issue number | 8 |
| Publication status | Published - Aug 2004 |
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Keywords
- Hypoxemia
- Living related liver transplantation (LRLT)
- Pulmonary edema
- Transfusion related acute lung injury (TRALI)
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine
Cite this
Severe acute pulmonary edema during living related liver transplantation surgery. / Ohashi, Ichiro; Kaku, Ryuji; Fuji, Hiromi; Nakatsuka, Hideki; Matsumi, Masaki; Morita, Kiyoshi.
In: Japanese Journal of Anesthesiology, Vol. 53, No. 8, 08.2004, p. 925-928.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Severe acute pulmonary edema during living related liver transplantation surgery
AU - Ohashi, Ichiro
AU - Kaku, Ryuji
AU - Fuji, Hiromi
AU - Nakatsuka, Hideki
AU - Matsumi, Masaki
AU - Morita, Kiyoshi
PY - 2004/8
Y1 - 2004/8
N2 - We report a case of severe intraoperative pulmonary edema during living related liver transplantation (LRLT) surgery. A 60-year-old woman with end-stage primary biliary cirrhosis underwent LRLT. After administration of several units of packed red blood cells and fresh frozen plasma, a gradual decline in oxygen saturation was observed. After an unexpectedly prolonged ahepatic phase, she developed severe pulmonary edema and critical hypoxemia. Further deterioration of hypoxemia was observed after reperfuion of the portal vein. We conclude that this severe pulmonary edema was caused by transfusion related acute lung injury, and prolonged ahepatic phase with reperfusion injury deteriorated the lung condition.
AB - We report a case of severe intraoperative pulmonary edema during living related liver transplantation (LRLT) surgery. A 60-year-old woman with end-stage primary biliary cirrhosis underwent LRLT. After administration of several units of packed red blood cells and fresh frozen plasma, a gradual decline in oxygen saturation was observed. After an unexpectedly prolonged ahepatic phase, she developed severe pulmonary edema and critical hypoxemia. Further deterioration of hypoxemia was observed after reperfuion of the portal vein. We conclude that this severe pulmonary edema was caused by transfusion related acute lung injury, and prolonged ahepatic phase with reperfusion injury deteriorated the lung condition.
KW - Hypoxemia
KW - Living related liver transplantation (LRLT)
KW - Pulmonary edema
KW - Transfusion related acute lung injury (TRALI)
UR - http://www.scopus.com/inward/record.url?scp=4143153831&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=4143153831&partnerID=8YFLogxK
M3 - Article
VL - 53
SP - 925
EP - 928
JO - Japanese Journal of Anesthesiology
JF - Japanese Journal of Anesthesiology
SN - 0021-4892
IS - 8
ER -