Korean J Thorac Cardiovasc Surg.  2019 Feb;52(1):58-60. 10.5090/kjtcs.2019.52.1.58.

Cardiopulmonary Bypass Strategies to Maintain Brain Perfusion during Lung Transplantation in a Patient with Severe Hypercapnia

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine. ytkim@snu.ac.kr
  • 2Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine.
  • 3Department of Anaesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine.

Abstract

Herein, we report a case of lung transplantation in a patient with profound preoperative hypercapnia, focusing on the cardiopulmonary bypass strategy used for brain perfusion during the operation. We applied the pH-stat method for acid-base regulation, and thereby achieved the desired outcome without any neurologic deficit.

Keyword

Lung transplantation; Hypercapnia; Cardiopulmonary bypass; Cerebrovascular circulation; pH stat

MeSH Terms

Brain*
Cardiopulmonary Bypass*
Cerebrovascular Circulation
Humans
Hypercapnia*
Lung Transplantation*
Lung*
Methods
Neurologic Manifestations
Perfusion*
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