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Pulmonary thrombectomy in a patient with hemoglobin Nottingham

Department of Anesthesiology, Perioperative and Pain Medicine, Division of Cardiac Anesthesiology Harvard Medical School, Boston, MA, USA

Robert W. Lekowski, JR

Department of Anesthesiology, Perioperative and Pain Medicine, Division of Cardiac Anesthesiology Harvard Medical School, Boston, MA, USA

Peter Rosenberger

Department of Anesthesiology, Perioperative and Pain Medicine, Division of Cardiac Anesthesiology Harvard Medical School, Boston, MA, USA

Zain Khalpey

Department of Surgery, Division of Cardiac Surgery Harvard Medical School, Boston, MA, USA

Daniel J. FitzGerald

Department of Surgery, Division of Cardiac Surgery Harvard Medical School, Boston, MA, USA

Valorie Claypoole

Department of Surgery, Division of Cardiac Surgery Harvard Medical School, Boston, MA, USA

Kevin D. Courtney

Department of Medicine, Division of Hematology Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA

Michael J. Landzberg

Department of Medicine, Division of Cardiology, Harvard Medical School, Boston, MA USA

H. Franklin Bunn

Department of Medicine, Division of Hematology Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA

Prem S. Shekar

Department of Surgery, Division of Cardiac Surgery Harvard Medical School, Boston, MA, USA, pshekar{at}partners.org

A 36-year-old female with hemoglobin Nottingham (betaFG 5(98) Val Gly) causing severe hemolytic anemia and chronic thromboembolic pulmonary hypertension presented with symptomatic subacute right lower lobar pulmonary arterial thrombosis requiring surgical pulmonary thrombectomy. We describe a successful, multidisciplinary approach to the problems associated with this disease, particularly with the use of cardiopulmonary bypass and deep hypothermic circulatory arrest. Perfusion (2007) 22, 299—301.

Perfusion, Vol. 22, No. 4, 299-301 (2007)
DOI: 10.1177/0267659107084143


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