Case report: separation from cardiopulmonary bypass with a rigid bronchoscope airway after hemoptysis and bronchial impaction with clot.

Abstract

Hemoptysis after cardiopulmonary bypass (CPB) occasionally occurs, and has varying clinical significance based upon amount of bleeding. Hemoptysis resulting in a clot and airway obstruction is an extremely rare event found almost exclusively in the intensive care unit. We describe a unique case of hemoptysis resulting in bronchial impaction from a clot requiring an emergent return to CPB during valve replacement surgery. We used a rigid bronchoscope, without an endotracheal tube, to facilitate airway patency in a patient with diffuse airway bleeding after bronchial disimpaction to separate from CPB.

• Authors: Peter J Neuburger, Aubrey C Galloway, Michael D Zervos, Marc S Kanchuger
• Journal: Anesthesia and analgesia (Anesth Analg) Vol. 114 Issue 1 Pg. 89-92 (Jan 2012) ISSN: 1526-7598 [Electronic] United States
• PMID: 22034489 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Airway Obstruction (diagnosis, etiology, therapy)
• Bronchoscopes
• Bronchoscopy (instrumentation)
• Cardiopulmonary Bypass (adverse effects)
• Heart Valve Prosthesis Implantation
• Hemoptysis (diagnosis, etiology, therapy)
• Humans
• Intubation, Intratracheal (instrumentation)
• Male
• Respiration, Artificial
• Thrombosis (diagnosis, etiology, therapy)
• Treatment Outcome