%0 Journal Article
%T Risk of Major Hemorrhage in Bilateral Lung Transplantation for Chronic Thromboembolic Pulmonary Hypertension: A Case Report*
%A Tomoyuki Nakagiri
%A Masato Minami
%A Masayoshi Inoue
%A Soichiro Funaki
%A Yasushi Shintani
%A Meinoshin Okumura
%J Open Journal of Organ Transplant Surgery
%P 65-67
%@ 2163-9493
%D 2013
%I Scientific Research Publishing
%R 10.4236/ojots.2013.34013
%X <span>Chronic thromboembolic pulmonary hypertension (CTEPH) is one of the indications for lung transplantation. When patients with CTEPH undergo transplantation, massive bleeding can occur because of severe pleural adhesions and collateral vessels that develop from the thoracic wall to the lungs. However, there has been no previous case report that has discussed the bleeding risk in detail. We report the case of a patient having CTEPH who underwent bilateral lung transplantation with massive blood loss (11,730 mL) in the first operation and required repeat operations for hemostasis. The patient underwent left upper lobectomy because compromised blood fl</span><span>e</span><span>w to the left upper lobe. He recovered from the operations by postoperative day 9; however, he died from pyothorax from an intractable air leak 56 days after transplantation.</span>
%K Lung Transplantation
%K Chronic Thromboembolic Pulmonary Hypertension
%K Massive Bleeding
%K Control
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=38965