Volume 107, Issue 6, Pages (June 1995)

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Presentation transcript:

Volume 107, Issue 6, Pages 1766-1770 (June 1995) Independent Ventilation and ECMO for Severe Unilateral Pulmonary Edema After SLT for Primary Pulmonary Hypertension David B. Badesch, MD, FCCP, Martin R. Zamora, MD, FCCP, Steven Jones, MD, David W. Campbell, MD, FCCP, David A. Fullerton, MD, FCCP CHEST Volume 107, Issue 6, Pages 1766-1770 (June 1995) DOI: 10.1378/chest.107.6.1766 Copyright © 1995 The American College of Chest Physicians Terms and Conditions

Figure 1 Preoperative chest radiograph at time of presentation showing cardiomegaly with prominence of the pulmonary outflow tract and proximal pulmonary arteries, consistent with severe pulmonary hypertension. CHEST 1995 107, 1766-1770DOI: (10.1378/chest.107.6.1766) Copyright © 1995 The American College of Chest Physicians Terms and Conditions

Figure 2 Immediately following right SLT, the chest radiograph demonstrates severe edema of the graft. CHEST 1995 107, 1766-1770DOI: (10.1378/chest.107.6.1766) Copyright © 1995 The American College of Chest Physicians Terms and Conditions

Figure 3 Postoperative day 3, following the institution of independent ventilation on postoperative day 2, and with ongoing ECMO and net fluid removal by ultrafiltration, the chest radiograph demonstrates some aeration of the graft. CHEST 1995 107, 1766-1770DOI: (10.1378/chest.107.6.1766) Copyright © 1995 The American College of Chest Physicians Terms and Conditions

Figure 4 Eleven months after right SLT, the chest radiograph demonstrates a near-normal cardiac silhouette and good aeration of the graft. CHEST 1995 107, 1766-1770DOI: (10.1378/chest.107.6.1766) Copyright © 1995 The American College of Chest Physicians Terms and Conditions