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• W2049272092 abstract "ONE-LUNG VENTILATION (OLV) induces an obligate right-to-left shunt in the nonventilated lung and is associated with an impairment of arterial oxygenation. Pulmonary blood flow through the ventilated lung during OLV is augmented by hypoxic pulmonary vasoconstriction (HPV), which limits blood flow to the nonventilated lung 1 Benumof J.L. One-lung ventilation and hypoxic pulmonary vasoconstriction: Implications for anesthetic management. Anesth Analg. 1985; 64: 821-833 Crossref PubMed Google Scholar , 2 Nagendran J. Stewart K. Hoskinson M. et al. An anesthesiologist's guide to hypoxic pulmonary vasoconstriction: Implications for managing single-lung anesthesia and atelectasis. Curr Opin Anaesthesiol. 2006; 19: 34-43 Crossref PubMed Scopus (52) Google Scholar and by positional and gravitational effects. 3 Bardoczky G.I. Szegedi L.L. d'Hollander A.A. et al. Two-lung and one-lung ventilation in patients with chronic obstructive pulmonary disease: The effects of position and FIO2. Anesth Analg. 2000; 90: 35-41 Crossref PubMed Scopus (79) Google Scholar , 4 Choi Y.S. Bang S.O. Shim J.K. et al. Effects of head-down tilt on intrapulmonary shunt fraction and oxygenation during one-lung ventilation in the lateral decubitus position. J Thoracic Cardiovasc Surg. 2007; 134: 613-618 Abstract Full Text Full Text PDF PubMed Scopus (13) Google Scholar , 5 West J.B. Dollery C.T. Naimark A. Distribution of blood flow in isolated lung: Relation to vascular and alveolar pressures. J Appl Physiol. 1964; 19: 713-724 PubMed Google Scholar , 6 Brudin L.H. Rhodes C.G. Valind S.O. et al. Interrelationships between regional blood flow, blood volume, and ventilation in supine humans. J Appl Physiol. 1994; 76: 1205-1210 PubMed Google Scholar , 7 Glenny R.W. Bernard S. Robertson H.T. et al. Gravity is an important but secondary determinant of regional pulmonary blood flow in upright primates. J Appl Physiol. 1999; 86: 623-632 PubMed Google Scholar The authors report a case in which oxygenation after the institution of OLV was impaired by acute intraoperative pulmonary emboli (PE) directed selectively to the ventilated lung. Coronary Artery Bypass Graft Surgery in a Patient With Concomitant Factor V Leiden Mutation and Thromboangiitis ObliteransJournal of Cardiothoracic and Vascular AnesthesiaVol. 26Issue 4PreviewWe have read several articles1-3 in JCVA reviewing doctors' experiences with pulmonary embolism and thromboembolic prophylaxis. We would like to report a similar experience of ours regarding a patient undergoing coronary artery bypass surgery and with a medical history of recurrent deep venous thrombosis and pulmonary thromboembolism. Full-Text PDF" @default.
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• W2049272092 date "2011-12-01" @default.
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• W2049272092 title "Acute Intraoperative Pulmonary Embolism: An Unusual Cause of Hypoxemia During One-Lung Ventilation" @default.
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• W2049272092 doi "https://doi.org/10.1053/j.jvca.2010.09.012" @default.
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