Cardiothoracic Anesthesiology, Cleveland Clinic, Cleveland, OH.
Cardiothoracic Anesthesiology, Cleveland Clinic, Cleveland, OH.
J Cardiothorac Vasc Anesth. 2020 Jul;34(7):1985-1989. doi: 10.1053/j.jvca.2020.01.047. Epub 2020 Feb 1.
Lung transplantation is the definitive treatment for end-stage lung disease. The pulmonary venous anastomosis has the potential for significant obstructive complications that can lead to considerable morbidity and mortality. The use of intraoperative transesophageal echocardiography, including color-flow and spectral Doppler, is instrumental in evaluating the pulmonary veins after lung transplantation. In this E-challenge, a case of intraoperative pulmonary venous obstruction after bilateral lung transplantation is described, the echocardiographic principles required to evaluate the pulmonary veins and screen for complications are reviewed, and when intervention may be required is discussed.
肺移植是治疗终末期肺病的最终手段。肺静脉吻合术有发生显著阻塞性并发症的可能，从而导致严重的发病率和死亡率。术中经食管超声心动图（包括彩色血流和频谱多普勒）的应用对于评估肺移植后的肺静脉非常重要。在这个 E 挑战中，我们描述了一例双侧肺移植术后术中发生的肺静脉阻塞，回顾了评估肺静脉和筛查并发症所需的超声心动图原则，并讨论了何时需要进行干预。
