Korean J Anesthesiol.  2007 Jul;53(1):123-126. 10.4097/kjae.2007.53.1.123.

Left Ventricular Rupture during Closed-chest Cardiopulmonary Resuscitation after Pneumonectomy: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Korea University Medical Center, College of Medicine, Korea University, Seoul, Korea. painfree365@unitel.co.kr

Abstract

We report a case of circulatory collapse and cardiac arrest immediately after the patient was turned from the lateral decubitus position to the supine position following left pneumonectomy. Closed-chest resuscitation with medical and fluid interventions were inadequate. Emergency chest showed the deviation of heart to the left side and blunted apex. Left ventricular rupture during resuscitation was found subsequent thoracotomy. This rupture and inadequacy of closed-chest resuscitation were felt to be associated with the operative pneumonectomy and pericardiotomy.

Keyword

closed-chest resuscitation; left ventricular rupture; pneumonectomy

MeSH Terms

Cardiopulmonary Resuscitation*
Emergencies
Heart
Heart Arrest
Humans
Pericardiectomy
Pneumonectomy*
Resuscitation
Rupture*
Shock
Supine Position
Thoracotomy
Thorax
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