Re-Expansion Pulmonary Edema vs Alveolar-Pleural Fistula During Liver Transplant: Diagnosis and Management
Document Type
Conference Proceeding
Publication Date
9-2023
Publication Title
Transplantation
Abstract
A 46-year-old man with a history of nonalcoholic fatty liver cirrhosis and acute kidney injury secondary to hepatorenal syndrome presented for liver transplant. The patient had a right hepatic hydrothorax with a Pleurx catheter placement and had been draining 500cc fluid three-times per week prior to surgery. Prior to induction, the catheter drained out 1L of fluid which progressed to 300cc of frothy yellow/brown secretions after induction and resulted in 14L in total throughout the operative period. This case will be used to discuss an algorithm for diagnosing re-expansion pulmonary edema and alveolar-pleural fistula while proposing management of both scenarios.
Volume
107
Issue
9 Suppl
First Page
293
Recommended Citation
Khatter N, Brockberg MS, Al-Attar NC, Mahmoud SA. Re-expansion pulmonary edema vs alveolar-pleural fistula during liver transplant: diagnosis and management. Transplantation. 2023 Sep;107(9 Suppl):293. doi:10.1097/01.tp.0000978836.44371.fe. and Presented at: American Society of Anesthesiologists Annual Meeting; 2023 Oct 14; San Francisco, CA.
DOI
10.1097/01.tp.0000978836.44371.fe
Comments
2023 Joint International Congress of ILTS, ELITA and LICAGE, May 3-6, 2023, Rotterdam, Netherlands
American Society of Anesthesiologists Annual Meeting, October 12-16, 2023, San Francisco, CA