Transfusion-related acute lung injury following coronary artery bypass graft surgery

被引:13
作者
Bitargil, M. [1 ]
Arslan, C. [2 ]
Basbug, H. S. [1 ]
Gocer, H. [1 ]
Gunerhan, Y. [1 ]
Bekov, Y. Y. [2 ]
机构
[1] Kafkas Univ, Fac Med, Dept Cardiovasc Surg, TR-36000 Kars, Turkey
[2] Istanbul Univ, Cerrahpasa Med Fac, Dept Cardiovasc Surg, Istanbul, Turkey
来源
PERFUSION-UK | 2015年 / 30卷 / 08期
关键词
coronary artery bypass; blood transfusion; acute lung injury; cardiac surgery; complication; RISK;
D O I
10.1177/0267659114568367
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Blood transfusion is sometimes a necessary procedure during or following coronary artery bypass graft (CABG) surgery. However, transfusion-related acute lung injury (TRALI)/possible TRALI is a rare and fatal complication and characterized by acute hypoxemia and non-cardiogenic pulmonary edema that occurs within 6 hours following a transfusion. Anti-leukocyte antibodies or, possibly, other bioactive substances cause inflammation and capillary endothelial destruction in susceptible recipients' lungs. Prompt diagnosis and mechanical ventilatory support are important. A successful treatment of two male patients following CABG surgery, compatible with TRALI/possible TRALI, is presented here.
引用
收藏
页码:626 / 628
页数:3
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