Massive Pulmonary Hemorrhage During Pulmonary Thromboendarterectomy

Abstract

Pulmonary hemorrhage is rare, but it does occur during certain surgeries, and severe cases can be life-threatening. The management of pulmonary hemorrhage is challenging, often requiring advanced techniques and equipment. Rapid diagnosis and identification of the bleeding source are crucial to successful management of pulmonary hemorrhage. Physiologic perturbations can create a challenging situation where immediate action is required in multiple domains. Management of a coagulopathy is often critical during the treatment of pulmonary hemorrhage. Various therapies, ranging from noninvasive to invasive, may be required to successfully and safely manage a patient with pulmonary hemorrhage. In this chapter, we discuss a case of massive pulmonary hemorrhage following cardiopulmonary bypass in a patient undergoing pulmonary thromboendarterectomy and describe the anesthetic management necessary to safely and successfully manage the challenging disease process.