Severe acute respiratory failure after aortic valve replacement in a patient with nonspecific interstitial pneumonia -A case report-

Anesthesia and Pain Medicine 2014년 9권 2호 p.123 ~ p.127

서미숙(Seo Mi-Sook) - University of Ulsan College of Medicine Asan Medical Center Department of Anesthesiology and Pain Medicine
이은호(Lee Eun-Ho) - University of Ulsan College of Medicine Asan Medical Center Department of Anesthesiology and Pain Medicine
심지연(Sim Ji-Yeon) - University of Ulsan College of Medicine Asan Medical Center Department of Anesthesiology and Pain Medicine

Abstract

A 57-year-old female patient with suspicious interstitial lung disease underwent aortic valvular replacement for aortic stenosis. She complained of severe dyspnea, and her preoperative chest X-ray and computed tomography findings showed multiple ground glass opacity causing interstitial lung disease. After aortic valvular replacement, and as part of the weaning process after cardiopulmonary bypass, she was placed on a ventilator. Nonetheless, the peak airway pressure was higher than 40 mmHg with a less than 50 ml tidal volume, and there was no visible end-tidal CO2 curve. Repeated suction, expansion, and intravenous corticosteroid injection with aminophylline loading were performed to improve the patient’s condition. Extracorporeal membrane oxygenation began after cardiopulmonary bypass and was sustained for 5 days. This case demonstrated the fragility of lungs with interstitial disease, and the need to exercise more precaution against acute respiratory failure after cardiopulmonary bypass.

키워드

Acute respiratory failure, Cardiopulmonary bypass, Interstitial lung disease
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주제코드
주제명(Target field)
연구대상(Population)
연구참여(Sample size)
대상성별(Gender)
질병특성(Condition Category)
연구환경(Setting)
연구설계(Study Design)
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중재방법(Intervention Type)
중재명칭(Intervention Name)
키워드(Keyword)
유효성결과(Recomendation)
This case demonstrated the fragility of lungs with interstitial disease, and the need to exercise more precaution against acute respiratory failure after cardiopulmonary bypass.
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DOI
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ICD 03
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