Transfusion related acute lung injury with massive pulmonary secretion during cardiac surgery. A case report
1 Caribbean Heart Care Medcorp, Port Of Spain, Trinidad and Tobago
2 NILH Imperial College London, London, UK
Journal of Cardiothoracic Surgery 2014, 9:64 doi:10.1186/1749-8090-9-64Published: 2 April 2014
A Indo-Caribbean patient undergoing cardiac surgery developed Transfusion Related Acute Lung Injury (TRALI) with massive endobronchial secretion of clear fluid mimicking severe pulmonary edema. Hypoxemia and lung stiffness were so severe that didn’t allow closure of the sternum on completion of surgery. The patient was treated with invasive ventilation, high positive pressure and % FiO2 and aggressive endotracheal suction. After several hours, secretions reduced spontaneously and the patient made an uneventful recovery.