Severe Hypoxemia during Mechanical Ventilation after an Elective Bentall Procedure: A Case Report
Journal Title: International Cardiovascular Research Journal - Year 2016, Vol 10, Issue 4
Abstract
Acute Hypoxemic Respiratory Failure (AHRF) during mechanical ventilation on high fraction of inspired oxygen is an unusual manifestation of respiratory insufficiency after an elective cardiac surgical procedure. A 68-year old man who had developed AHRF during his mechanical ventilatory support after an elective Bentall procedure was reported. Increased duration of cardiopulmonary bypass in conjunction with his hemodynamic instability and tissue hypo-perfusion during the early postoperative period were the main reasons for the acute respiratory failure onset accompanied by severe hypoxemia. A slow oxygenation improvement was observed after the implementation of specific interventions for arterial pressure and heart rhythm stabilization. Considering the patient’s clear chest x-ray findings, it was supposed that he had progressed to type IV respiratory failure. Hemodynamic stabilization and improvement of tissue perfusion could treat the underlying cause of the patient’s acute respiratory failure.
Authors and Affiliations
Konstantinos Giakoumidakis
Keywords
Related Articles
- EP ID EP421948
- DOI -
- Views 124
- Downloads 0
Evaluation of Celiac Disease in Children with Dilated Cardiomyopathy
Background: The incidence of Celiac Disease (CD) raises in children with Dilated Cardiomyopathy (DCM). Objectives: This study aimed to investigate the prevalence of CD in children with DCM compared with controls. Patient...
Complications of Transcatheter Closure in Patent Ductus Arteriosus Patients
Background: Published studies have shown excellent success rates and also low rates of life-threatening complications with trans-catheter closure of patent ductus arteriosus (PDA). However, most studies to date have been...
Cardiac Involvements in Patients with Celiac Disease by Doppler Tissue Echocardiography Compared to Conventional Echocardiography
Background: Celiac disease (CD) is an autoimmune mediated gluten sensitive enteropathy and cardiac involvement in CD children is frequent. Objectives: This study aimed to investigate cardiac involvements in patients with...
Mitral Annulus Myxoma Extending into Left Atrium and Left Ventricle with Severe Mitral Regurgitation as a Pre-Operative Finding, a Rarity
Cardiac tumors constitute 0.2% of all tumors. Primary cardiac tumors occur infrequently with an incidence of 0.0017-0.19% as shown by autopsies performed in non-selected populations. Among these tumors, cardiac myxomas a...
The Epidemiology of Cardiovascular Mortality in Pediatric Patients: Letter to Editor
Cardiovascular Disease (CVD) is a leading cause of early childhood death and disability worldwide (1). Iran has a potentially larger incidence of premature deaths, especially cardiac deaths, due to cultural factors (e.g....