• A&A practice · Aug 2022

    Case Reports

    Inhaled Tranexamic Acid for the Management of Hemoptysis in a Patient With Right and Left Ventricular Assist Devices: A Case Report.

    • Shamik Patel, Ioannis K Angelidis, Elizabeth S Malsin, Sean Smith, Amit Pawale, and Ashley N Budd.
    • From the Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
    • A A Pract. 2022 Aug 1; 16 (8): e01604e01604.

    AbstractThe use of mechanical circulatory support (MCS) devices continues to expand in cases of refractory cardiogenic shock. Bleeding is one of the most common complications associated with MCS, and management can be challenging due to need for systemic anticoagulation. Significant hemoptysis can be a devastating complication. We describe a case of a patient supported by a right ventricular assist device with an oxygenator and a left ventricular assist device who developed pulmonary hemorrhage that was successfully treated with nebulized tranexamic acid (TXA). Following a 5-day treatment course, bleeding resolved, no adverse side effects were noted, and systemic anticoagulation was resumed.Copyright © 2022 International Anesthesia Research Society.

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