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2016 ; 8
(5
): E340-4
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Postperfusion lung syndrome and related sequelae
#MMPMID27162696
Yuan SM
J Thorac Dis
2016[May]; 8
(5
): E340-4
PMID27162696
show ga
Postperfusion lung syndrome is a rare but sometimes lethal complication secondary
to cardiopulmonary bypass. It often leads to multiorgan failure and mixed
acid-base disturbances, thus making a refractory condition. A 69-year-old female,
undergoing a successful cardiac lipoma resection under cardiopulmonary bypass,
unfortunately developed postperfusion lung syndrome with associated multiorgan
failure and triple acid-base disturbances (TABDs). Her condition deteriorated
rapidly on postoperative day three and became moribund. This article reports a
rare association following a surgical resection of cardiac lipoma, complicated
with postperfusion lung syndrome and high-anion-gap and hyperchloride TABDs. It
is recommended that proper positive end-expiratory pressure (PEEP) (5-10 cmH2O)
with low tidal volume (6 mL/kg) be applied in order to minimize the compromise to
cardiac function of cardiac surgical patients.