Noninvasive Positive Pressure Ventilation against Reperfusion Pulmonary Edema following Percutaneous Transluminal Pulmonary Angioplasty
A 69-year-old man with chronic thromboembolic pulmonary hypertension (CTEPH) was on amblatory oxygen inhalation therapy (3 L/min) and scheduled for percutaneous transluminal pulmonary angioplasty (PTPA). The patient's New York Heart Association functional status was class III with recent worsen...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2011-01-01
|
| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2011/204538 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849683914081173504 |
|---|---|
| author | Kiyoshi Moriyama Sayuri Sugiyama Koji Uzawa Mariko Kotani Toru Satoh Tomoko Yorozu |
| author_facet | Kiyoshi Moriyama Sayuri Sugiyama Koji Uzawa Mariko Kotani Toru Satoh Tomoko Yorozu |
| author_sort | Kiyoshi Moriyama |
| collection | DOAJ |
| description | A 69-year-old man with chronic thromboembolic pulmonary hypertension (CTEPH) was on amblatory oxygen inhalation therapy (3 L/min) and scheduled for percutaneous transluminal pulmonary angioplasty (PTPA). The patient's New York Heart Association functional status was class III with recent worsening of dyspnea and apparent leg edema. Transthoracic echocardiography revealed right ventricular enlargement with mean pulmonary artery pressure of 42 mmHg. After PTPA, he was complicated with postoperative reperfusion pulmonary edema, and noninvasive positive pressure ventilation (NPPV) was applied immediately. Hypoxemia was successfully treated with 15 days of NPPV. Although mean pulmonary artery pressure was unchanged, his brain natriuretic peptide level decreased from preoperative 390.3 to postoperative 44.3 pg/dL. In addition, total pulmonary resistance decreased from preoperative 18 to postoperative 9.6 wood unit·m2. The patient was discharged on day 25 with SpO2 of 95% on 5 L/min of oxygen inhalation. Because pulmonary edema is a postsurgical life-threatening complication following PTPA, application of NPPV should be considered. |
| format | Article |
| id | doaj-art-d55b949b39e34e66be04db74ac19c381 |
| institution | DOAJ |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-d55b949b39e34e66be04db74ac19c3812025-08-20T03:23:38ZengWileyCase Reports in Anesthesiology2090-63822090-63902011-01-01201110.1155/2011/204538204538Noninvasive Positive Pressure Ventilation against Reperfusion Pulmonary Edema following Percutaneous Transluminal Pulmonary AngioplastyKiyoshi Moriyama0Sayuri Sugiyama1Koji Uzawa2Mariko Kotani3Toru Satoh4Tomoko Yorozu5Department of Anesthesiology, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka, Tokyo 181-8611, JapanDepartment of Geriatric Medicine, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka, Tokyo 181-8611, JapanDepartment of Anesthesiology, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka, Tokyo 181-8611, JapanDepartment of Anesthesiology, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka, Tokyo 181-8611, JapanSecond Department of Internal Medicine, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka, Tokyo 181-8611, JapanDepartment of Anesthesiology, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka, Tokyo 181-8611, JapanA 69-year-old man with chronic thromboembolic pulmonary hypertension (CTEPH) was on amblatory oxygen inhalation therapy (3 L/min) and scheduled for percutaneous transluminal pulmonary angioplasty (PTPA). The patient's New York Heart Association functional status was class III with recent worsening of dyspnea and apparent leg edema. Transthoracic echocardiography revealed right ventricular enlargement with mean pulmonary artery pressure of 42 mmHg. After PTPA, he was complicated with postoperative reperfusion pulmonary edema, and noninvasive positive pressure ventilation (NPPV) was applied immediately. Hypoxemia was successfully treated with 15 days of NPPV. Although mean pulmonary artery pressure was unchanged, his brain natriuretic peptide level decreased from preoperative 390.3 to postoperative 44.3 pg/dL. In addition, total pulmonary resistance decreased from preoperative 18 to postoperative 9.6 wood unit·m2. The patient was discharged on day 25 with SpO2 of 95% on 5 L/min of oxygen inhalation. Because pulmonary edema is a postsurgical life-threatening complication following PTPA, application of NPPV should be considered.http://dx.doi.org/10.1155/2011/204538 |
| spellingShingle | Kiyoshi Moriyama Sayuri Sugiyama Koji Uzawa Mariko Kotani Toru Satoh Tomoko Yorozu Noninvasive Positive Pressure Ventilation against Reperfusion Pulmonary Edema following Percutaneous Transluminal Pulmonary Angioplasty Case Reports in Anesthesiology |
| title | Noninvasive Positive Pressure Ventilation against Reperfusion Pulmonary Edema following Percutaneous Transluminal Pulmonary Angioplasty |
| title_full | Noninvasive Positive Pressure Ventilation against Reperfusion Pulmonary Edema following Percutaneous Transluminal Pulmonary Angioplasty |
| title_fullStr | Noninvasive Positive Pressure Ventilation against Reperfusion Pulmonary Edema following Percutaneous Transluminal Pulmonary Angioplasty |
| title_full_unstemmed | Noninvasive Positive Pressure Ventilation against Reperfusion Pulmonary Edema following Percutaneous Transluminal Pulmonary Angioplasty |
| title_short | Noninvasive Positive Pressure Ventilation against Reperfusion Pulmonary Edema following Percutaneous Transluminal Pulmonary Angioplasty |
| title_sort | noninvasive positive pressure ventilation against reperfusion pulmonary edema following percutaneous transluminal pulmonary angioplasty |
| url | http://dx.doi.org/10.1155/2011/204538 |
| work_keys_str_mv | AT kiyoshimoriyama noninvasivepositivepressureventilationagainstreperfusionpulmonaryedemafollowingpercutaneoustransluminalpulmonaryangioplasty AT sayurisugiyama noninvasivepositivepressureventilationagainstreperfusionpulmonaryedemafollowingpercutaneoustransluminalpulmonaryangioplasty AT kojiuzawa noninvasivepositivepressureventilationagainstreperfusionpulmonaryedemafollowingpercutaneoustransluminalpulmonaryangioplasty AT marikokotani noninvasivepositivepressureventilationagainstreperfusionpulmonaryedemafollowingpercutaneoustransluminalpulmonaryangioplasty AT torusatoh noninvasivepositivepressureventilationagainstreperfusionpulmonaryedemafollowingpercutaneoustransluminalpulmonaryangioplasty AT tomokoyorozu noninvasivepositivepressureventilationagainstreperfusionpulmonaryedemafollowingpercutaneoustransluminalpulmonaryangioplasty |