Severe acute pulmonary edema during living related liver transplantation surgery

Ichiro Ohashi; Ryuji Kaku; Hiromi Fuji; Hideki Nakatsuka; Masaki Matsumi; Kiyoshi Morita

Severe acute pulmonary edema during living related liver transplantation surgery

Ichiro Ohashi, Ryuji Kaku, Hiromi Fuji, Hideki Nakatsuka, Masaki Matsumi, Kiyoshi Morita

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

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 1 2004

Keywords

Hypoxemia
Living related liver transplantation (LRLT)
Pulmonary edema
Transfusion related acute lung injury (TRALI)

ASJC Scopus subject areas

Anesthesiology and Pain Medicine

Access to Document

Fingerprint Dive into the research topics of 'Severe acute pulmonary edema during living related liver transplantation surgery'. Together they form a unique fingerprint.

Cite this

@article{39bdd7e36bbf487f821d3ed25c0ec622,

title = "Severe acute pulmonary edema during living related liver transplantation surgery",

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.",

keywords = "Hypoxemia, Living related liver transplantation (LRLT), Pulmonary edema, Transfusion related acute lung injury (TRALI)",

author = "Ichiro Ohashi and Ryuji Kaku and Hiromi Fuji and Hideki Nakatsuka and Masaki Matsumi and Kiyoshi Morita",

year = "2004",

month = aug,

day = "1",

language = "English",

volume = "53",

pages = "925--928",

journal = "Japanese Journal of Anesthesiology",

issn = "0021-4892",

publisher = "Kokuseido Publishing Co. Ltd",

number = "8",

}

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 - 2004/8/1

Y1 - 2004/8/1

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

C2 - 15446686

AN - SCOPUS:4143153831

VL - 53

SP - 925

EP - 928

JO - Japanese Journal of Anesthesiology

JF - Japanese Journal of Anesthesiology

SN - 0021-4892

IS - 8

ER -