Re-expansion pulmonary oedema after minimally invasive cardiac surgery with right mini-thoracotomy

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Yusuke IrisawaTaichi Sakaguchi

Abstract

Re-expansion pulmonary oedema (RPO) sometimes occurs after minimally invasive cardiac surgery (MICS) with single-lung ventilation. However, it has not been widely recognized as a serious complication. The aim of this study is to evaluate the occurrence rate and risk factors of RPO. A total of 381 consecutive patients who underwent MICS with right mini-thoracotomy from March 2005 to October 2013 were retrospectively reviewed. RPO was observed in 8 (2.1%) patients. In the preoperative data, greater percentages of preoperative use of steroid or immunosuppressant were found in patients with RPO (25% [2/8] vs 1% [4/373]; P = 0.0056). In the operative data, significantly longer operation, cardiopulmonary bypass (CPB) and aortic cross-clamping (ACC) times as well as greater percentages of second CPB run were found in patients with RPO (388 ± 80 vs 272 ± 61 min; P < 0.0002, 253 ± 79 vs 158 ± 50 min; P = 0.0009, 162 ± 65 vs 108 ± 38 min; P = 0.020 and 38% [3/8] vs 1.3% [5/373]; P < 0.0003). The overall 30-day mortality rate was 0.8% (3/381) and the 30-day mortality rate of patients with RPO was 12.5% (1/8). Significantly prolonged initial ventilation time, intensive care unit and postoperative hospital stay were observed in patients wit...Continue Reading

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Citations

Apr 15, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Cornelius Keyl, Matthias Siepe
Sep 18, 2016·General Thoracic and Cardiovascular Surgery·Taichi Sakaguchi
Aug 22, 2016·The Annals of Thoracic Surgery·Emmanuel MossDouglas A Murphy
Dec 1, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Jochen RennerOle Broch
Oct 10, 2019·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Risto I KesävuoriPeter M Raivio
May 16, 2019·Perfusion·Risto KesävuoriPeter Raivio
Jul 19, 2018·General Thoracic and Cardiovascular Surgery·Kazuma Okamoto
Nov 10, 2017·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Satoshi YamashiroYukio Kuniyoshi
Apr 17, 2018·Circulation Journal : Official Journal of the Japanese Circulation Society·Taichi SakaguchiHidenori Yoshitaka
Dec 13, 2017·Deutsches Ärzteblatt International·Torsten DoenstGloria Färber
Jun 3, 2021·Journal of Clinical Medicine·Thomas PuehlerAssad Haneya

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