The Role of Transesophageal Echocardiography in Evaluation and Management of Hypoxia Following Lung Transplantation

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Date
2022-09
Journal Title
Journal ISSN
Volume Title
Publisher
Wolters Kluwer - Medknow
Abstract
Pulmonary vein thrombosis (PVT) is a potentially fatal complication following lung transplantation (LT). The clinical presentation of PVT is nonspecific and mimics other common postoperative complications such as reperfusion injury, infection, and rejection. Transesophageal echocardiography (TEE) plays a pivotal role in detecting abnormalities of the pulmonary venous anastomosis in the perioperative period. Echocardiographic findings that warrant concern include a visible thrombus in pulmonary vein, pulmonary vein diameter <5mm, turbulence on color Doppler, and peak systolic velocity >100 cm/s.Transplant centers should strongly considerTEE in individual patients with unexplained graft failure.
Description
Keywords
Lung transplantation, pulmonary vein thrombosis, transesophageal echocardiography
Citation
P Hemamalini, Paramasivan Shanmugaperumal, Dutta Prabhat, Attawar Sandeep. The Role of Transesophageal Echocardiography in Evaluation and Management of Hypoxia Following Lung Transplantation. Annals of Cardiac Anaesthesia. 2022 Sep; 25(3): 356-358