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 journalArticle

3 Citations (Scopus)

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 languageEnglish
Pages (from-to)925-928
Number of pages4
JournalJapanese Journal of Anesthesiology
Volume53
Issue number8
Publication statusPublished - 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

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  • Cite this

    Ohashi, I., Kaku, R., Fuji, H., Nakatsuka, H., Matsumi, M., & Morita, K. (2004). Severe acute pulmonary edema during living related liver transplantation surgery. Japanese Journal of Anesthesiology, 53(8), 925-928.