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The Annals of Thoracic Surgery, Vol 35, 326-328, Copyright © 1983 by The Society of Thoracic Surgeons

ARTICLES

Massive endobronchial hemorrhage during cardiopulmonary bypass: treatable complication of balloon-tipped catheter damage to the pulmonary artery

FW Cervenko, SE Shelley, DG Spence, EJ Charrette and TA Salerno

Massive endobronchial hemorrhage due to balloon-tipped catheter rupture of a branch of the pulmonary artery in a fully heparinized patient undergoing cardiopulmonary bypass is potentially lethal. Death occurs due to asphyxiation. Endobronchial intubation (double-lumen endotracheal tube) appears to be a simple and effective method for control of the airway and tamponade of the bleeding site, which allows for completion of the surgical procedure until protamine sulphate reversal can be achieved.


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J. D. Urschel and T. A. Salerno
Management of exsanguinating hemoptysis during cardiopulmonary bypass
Ann. Thorac. Surg., December 1, 1999; 68(6): 2386 - 2386.
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Copyright © 1983 by The Society of Thoracic Surgeons.