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Anesthesia Management for a Patient Undergoing Pulmonary Endarterctomy without Cardiopulmonary Bypass

机译:无心肺旁路的接受肺动脉内膜切除术的患者的麻醉管理

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摘要

Pulmonary endarterectomy is a curative procedure for chronic thromboembolic Pulmonary Hypertension. As usual, cardiopulmonary bypass circuit is required. However, there are several complications attributed to extracorporeal circulation. Hemodilution, systemic inflammatory response syndrome and leukocyte sequestration are circulation related complications. The severe forms include Acute Respiratory Distress Syndrome, Acute Lung Injury, myocardial stunning, dysfunction of the right ventricle, coagulopathy, postoperative stroke or renal dysfunction. In this case report, we aimed to give information about perioperative anesthesia and surgical management of pulmonary endarterectomy which was successfully managed without Cardiopulmonary Bypass.
机译:肺动脉内膜切除术是治疗慢性血栓栓塞性肺动脉高压的方法。像往常一样,需要体外循环电路。然而,有一些并发症归因于体外循环。血液稀释,全身炎症反应综合征和白细胞隔离是与循环有关的并发症。严重的形式包括急性呼吸窘迫综合征,急性肺损伤,心肌电击,右心室功能不全,凝血病,中风或肾功能不全。在本病例报告中,我们旨在提供有关围手术期麻醉和肺动脉内膜切除术的手术管理的信息,这些手术在没有进行心肺旁路的情况下得以成功处理。

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