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Transfusion related acute lung injury with massive pulmonary secretion during cardiac surgery. A case report

Julien Teodori1, Kamal Rampersad, Giovanni Teodori

  • 1Caribbean Heart Care Medcorp, Port Of Spain, Trinidad and Tobago. julien.teodori@gmail.com.

Journal of Cardiothoracic Surgery
|April 4, 2014
PubMed

A Indo-Caribbean patient undergoing cardiac surgery developed Transfusion Related Acute Lung Injury (TRALI) with massive endobronchial secretion of clear fluid mimicking severe pulmonary edema. Hypoxemia and lung stiffness were so severe that didn't allow closure of the sternum on completion of surgery. The patient was treated with invasive ventilation, high positive pressure and % FiO2 and aggressive endotracheal suction. After several hours, secretions reduced spontaneously and the patient made an uneventful recovery.

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