Korean J Thorac Cardiovasc Surg 2019; 52(1): 58-60  https://doi.org/10.5090/kjtcs.2019.52.1.58
Cardiopulmonary Bypass Strategies to Maintain Brain Perfusion during Lung Transplantation in a Patient with Severe Hypercapnia
Bongyeon Sohn, M.D.1, Samina Park, M.D.1, Hyun Joo Lee, M.D., Ph.D.1, Jin Hee Jeong1, Sun Mi Choi, M.D.2, Sang-Min Lee, M.D., Ph.D.2, Jeong-Hwa Seo, M.D., Ph.D.3, Young Tae Kim, M.D., Ph.D.1
1Department of Thoracic and Cardiovascular Surgery, 2Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, and 3Department of Anaesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine
Corresponding author: Young Tae Kim, Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 03080, Korea
(Tel) 82-2-2072-3161 (Fax) 82-2-764-3664 (E-mail) ytkim@snu.ac.kr
Received: July 12, 2018; Revised: November 4, 2018; Accepted: November 5, 2018.; Published online: February 5, 2019.
© The Korean Journal of Thoracic and Cardiovascular Surgery. All rights reserved.

cc This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Herein, we report a case of lung transplantation in a patient with profound preoperative hypercapnia, focusing on the cardiopulmonary bypass strategy used for brain perfusion during the operation. We applied the pH-stat method for acid-base regulation, and thereby achieved the desired outcome without any neurologic deficit.
Keywords: Lung transplantation, Hypercapnia, Cardiopulmonary bypass, Cerebrovascular circulation, pH stat


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