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Korean J Thorac Cardiovasc Surg. 2019 Feb;52(1):58-60. doi: 10.5090/kjtcs.2019.52.1.58. Epub 2019 Feb 5.

Cardiopulmonary Bypass Strategies to Maintain Brain Perfusion during Lung Transplantation in a Patient with Severe Hypercapnia.

Author information

1
Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine.
2
Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine.
3
Department of Anaesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine.

Abstract

Herein, we report a case of lung transplantation in a patient with profound preoperative hypercapnia, focusing on the cardiopulmonary bypass strategy used for brain perfusion during the operation. We applied the pH-stat method for acid-base regulation, and thereby achieved the desired outcome without any neurologic deficit.

KEYWORDS:

Cardiopulmonary bypass; Cerebrovascular circulation; Hypercapnia; Lung transplantation; pH stat

Conflict of interest statement

Conflict of interest No potential conflict of interest relevant to this article was reported.

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