Management of a Multi-Level Forearm Microsurgical Reconstruction and the Following Transfusion-Related Acute Lung Injury

Budeyri A., Simsek B. K., Yardimci M. M., Anlatici R., Cankus M. C.

CUREUS, cilt.12, sa.9, 2020 (ESCI) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 12 Sayı: 9
  • Basım Tarihi: 2020
  • Doi Numarası: 10.7759/cureus.10385
  • Dergi Adı: CUREUS
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Directory of Open Access Journals
  • Anahtar Kelimeler: microsurgery, multilevel forearm injury, multilevel forearm arterial reconstruction, saphenous vein graft arterial reconstruction, trali, blood transfusion, acute lung injury, traumatic multilevel forearm amputation, deep palmar arterial arch technique for limb salvage, microsurgical management of severe segmental arterial tissue loss
  • Dokuz Eylül Üniversitesi Adresli: Hayır

Özet

Transfusion-related acute lung injury (TRALI) is a clinical syndrome characterized by acute respiratory distress following blood transfusion. This case-based technical report documents a case on the management of a multi-level forearm microsurgical reconstruction and the following TRALI syndrome that developed shortly after blood transfusion in a 29-year-old male. Multilevel microsurgical revascularization was performed via saphenous vein autograft arterial reconstruction from the proximal 1/3 ulnar artery to the ulnar side of the deep superficial palmar arterial arch. TRALI was resolved with intensive care unit monitoring and treatment. There are several reports of TRALI in literature, as well as proposed mechanisms of pathogenesis, however, no case on the management of a multilevel forearm arterial reconstruction via a long saphenous vein autograft and associated TRALI syndrome have been reported.