PMID- 34625353
OWN - NLM
STAT- MEDLINE
DCOM- 20220615
LR  - 20220801
IS  - 1532-8422 (Electronic)
IS  - 1053-0770 (Linking)
VI  - 36
IP  - 8 Pt A
DP  - 2022 Aug
TI  - Intraoperative Diagnosis of Bronchovenous Fistula During Lung Transplantation 
      Using Transesophageal Echocardiography.
PG  - 2572-2574
LID - S1053-0770(21)00828-4 [pii]
LID - 10.1053/j.jvca.2021.09.015 [doi]
AB  - Bronchovenous fistula (BVF) is a rare complication and can cause arterial gas 
      embolism in vital organs, including the heart and the brain, resulting in a high 
      mortality rate. A 51-year-old man developed a BVF during pneumonectomy for lung 
      transplantation, which quickly was diagnosed by transesophageal echocardiography 
      (TEE). He required highairway-pressure ventilation due to his severely 
      restrictive ventilatory impairment and had severe left pleural adhesion due to a 
      history of pleurodesis. Intraoperatively, he had a coronary air embolism and 
      required temporary treatment with central venoarterial extracorporeal membrane 
      oxygenation (VA-ECMO), but showed no postoperative cardiac or neurologic 
      complications. BVF may be formed during lung transplantation because lung 
      transplantation recipients often receive high-airway-pressure ventilation and are 
      vulnerable to bronchi and pulmonary vessel injuries during surgery. 
      Intraoperative TEE can contribute to the early detection of air bubbles in the 
      left heart circulation and is helpful for the prevention of arterial gas 
      embolism.
CI  - Copyright (c) 2021 Elsevier Inc. All rights reserved.
FAU - Taguchi, Akihisa
AU  - Taguchi A
AD  - Department of Anesthesia, Kyoto University Hospital, Kyoto, Japan. Electronic 
      address: a_taguchi@kuhp.kyoto-u.ac.jp.
FAU - Kai, Shinichi
AU  - Kai S
AD  - Department of Anesthesia, Kyoto University Hospital, Kyoto, Japan.
FAU - Kimura, Kayo
AU  - Kimura K
AD  - Department of Anesthesia, Kyoto University Hospital, Kyoto, Japan.
FAU - Yutaka, Yojiro
AU  - Yutaka Y
AD  - Department of Thoracic Surgery, Kyoto University Hospital, Kyoto, Japan.
FAU - Date, Hiroshi
AU  - Date H
AD  - Department of Thoracic Surgery, Kyoto University Hospital, Kyoto, Japan.
FAU - Fukuda, Kazuhiko
AU  - Fukuda K
AD  - Department of Anesthesia, Kyoto University Hospital, Kyoto, Japan.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20210917
PL  - United States
TA  - J Cardiothorac Vasc Anesth
JT  - Journal of cardiothoracic and vascular anesthesia
JID - 9110208
SB  - IM
MH  - Echocardiography, Transesophageal
MH  - *Embolism, Air/diagnostic imaging/etiology
MH  - *Extracorporeal Membrane Oxygenation
MH  - *Fistula
MH  - Humans
MH  - *Lung Transplantation/adverse effects
MH  - Male
MH  - Middle Aged
OTO - NOTNLM
OT  - arterial gas embolism
OT  - bronchovenous fistula
OT  - coronary air embolism
OT  - extracorporeal membrane oxygenation
OT  - transesophageal echocardiography
COIS- Conflict of Interest None.
EDAT- 2021/10/10 06:00
MHDA- 2022/06/16 06:00
CRDT- 2021/10/09 05:36
PHST- 2021/07/04 00:00 [received]
PHST- 2021/09/06 00:00 [revised]
PHST- 2021/09/10 00:00 [accepted]
PHST- 2021/10/10 06:00 [pubmed]
PHST- 2022/06/16 06:00 [medline]
PHST- 2021/10/09 05:36 [entrez]
AID - S1053-0770(21)00828-4 [pii]
AID - 10.1053/j.jvca.2021.09.015 [doi]
PST - ppublish
SO  - J Cardiothorac Vasc Anesth. 2022 Aug;36(8 Pt A):2572-2574. doi: 
      10.1053/j.jvca.2021.09.015. Epub 2021 Sep 17.