Chest Email Content Delivery
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Guest Access | Sign In via User Name/Password
This Article
Right arrow Full Text Free
Right arrow Full Text (PDF) Free
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Article Archive
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via ISI Web of Science (2)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Hasegawa, S.
Right arrow Articles by Wada, H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Hasegawa, S.
Right arrow Articles by Wada, H.
(Chest. 2002;122:1067-1068.)
© 2002 American College of Chest Physicians

The Inadvisability of Thoracoscopic Lung Biopsy on Patients With Pulmonary Hypertension*

Seiki Hasegawa, MD, PhD, FCCP; Noritaka Isowa, MD, PhD; Toru Bando, MD, PhD and Hiromi Wada, MD, PhD, FCCP

* From the Department of Thoracic Surgery, Kyoto University, Kyoto, Japan.

Correspondence to: Seiki Hasegawa, MD, Department of Thoracic Surgery, Kyoto University, 53 Shogoin, Kyoto 606-8507, Japan; e-mail: seikiha{at}kuhp.kyoto-u.ac.jp

The use of video-assisted thoracoscopic surgery (VATS) sometimes leads to additional and unnecessary risks compared with thoracotomy. We report a troubling case of VATS lung biopsy in a 43-year-old woman with mild pulmonary hypertension. A progressive elevation of pulmonary artery pressure (PAP) was noted after the commencement of right unilateral ventilation. When the systolic PAP reached 90 mm Hg (390 min after induction of anesthesia), a massive blood discharge through the chest drain occurred. At repeat thoracotomy, continuous blood spouting was seen from > 10 of the surgical sites. It was supposed that the endoscopic staplers were unable to maintain hemostasis with such a high PAP.

Key Words: complication • endoscopic stapler • lung biopsy • pulmonary hypertension • thoracoscopic surgery




This article has been cited by other articles:


Home page
 Br J AnaesthHome page
A. R. Heller, R. J. Litz, and T. Koch
A fine balance--one-lung ventilation in a patient with Eisenmenger syndrome
Br. J. Anaesth., April 1, 2004; 92(4): 587 - 590.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2002 by the American College of Chest Physicians.