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Spontaneous hemorrhage of the distal segment of the left pulmonary artery after cardiopulmonary bypass

  • Shanthi Shaver
    Correspondence
    Corresponding Author: Ankit Jain, MBBS, FASE, FASA, Director – Adult Cardiothoracic Anesthesia, Department of Anesthesiology and Perioperative Medicine, Medical College of Georgia at Augusta University, 1120, 15th Street, BI 2144, Augusta, GA, 30912, Work: 706-721-0410, Fax: 706-721-7753
    Affiliations
    Department of Anesthesiology and Perioperative Medicine, Medical College of Georgia at Augusta University, Augusta, Georgia, USA.
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  • Caryl Bailey
    Correspondence
    Corresponding Author: Ankit Jain, MBBS, FASE, FASA, Director – Adult Cardiothoracic Anesthesia, Department of Anesthesiology and Perioperative Medicine, Medical College of Georgia at Augusta University, 1120, 15th Street, BI 2144, Augusta, GA, 30912, Work: 706-721-0410, Fax: 706-721-7753
    Affiliations
    Department of Anesthesiology and Perioperative Medicine, Medical College of Georgia at Augusta University, Augusta, Georgia, USA.
    Search for articles by this author
  • Ankit Jain
    Correspondence
    Corresponding Author: Ankit Jain, MBBS, FASE, FASA, Director – Adult Cardiothoracic Anesthesia, Department of Anesthesiology and Perioperative Medicine, Medical College of Georgia at Augusta University, 1120, 15th Street, BI 2144, Augusta, GA, 30912, Work: 706-721-0410, Fax: 706-721-7753
    Affiliations
    Department of Anesthesiology and Perioperative Medicine, Medical College of Georgia at Augusta University, Augusta, Georgia, USA.
    Search for articles by this author
Published:November 24, 2022DOI:https://doi.org/10.1053/j.jvca.2022.11.023
      The following describes a case of massive pulmonary hemorrhage post-cardiopulmonary bypass. The location of the hemorrhage was identified as a branch of the left pulmonary artery supplying the superior segment of the left lower lobe of the lung. The patient was managed with a return to cardiopulmonary bypass, lung isolation, attempted coil embolization, conversion to veno-arterial then venovenous extracorporeal membrane oxygenation. We discuss the causes of pulmonary hemorrhage post-bypass as well as specific risk factors related to this patient that could have resulted in the bleeding.

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