Abstract

VINALES TORRES, Alay et al. Extreme Transfusion-Related Acute Lung Injury in the Perioperative Period of Cardiac Surgery: Case Report. CorSalud [online]. 2021, vol.13, n.1, pp. 109-114.  Epub Mar 01, 2021. ISSN 2078-7170.

Transfusion-Related Acute Lung Injury (TRALI) is a relatively unusual, life-threatening clinical syndrome, characterized by acute respiratory failure, hypotension, and non-cardiogenic pulmonary edema during or within 6 hours after a blood product transfusion. Although its true incidence is unknown, it has been attributed one case per 5.000 transfusions of any blood product and has been one of the most frequent causes of transfusion-related death. We present a case of TRALI in the perioperative period of cardiac surgery with extreme clinical manifestations, whose therapeutic approach was extremely difficult for the medical-surgical team, due to its complex clinical setting: cardiac surgery with cardiopulmonary bypass due to diagnosis of infective endocarditis, previous lung injury and history of other post-transfusion reaction.

Keywords : Acute lung injury; Transfusion; Adult respiratory distress syndrome; Transfusion related acute lung injury.

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