Korean J Crit Care Med.
2010 Mar;25(1):48-51. 10.4266/kjccm.2010.25.1.48.
Bronchospasm during Minimally Invasive Cardiac Surgery in a Patient with a Mosaic Attenuation Pattern on Lung Computed Tomography: A Case Report
- Affiliations
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- 1Department of Anesthesia and Pain Medicine, Pusan National University Hospital, Busan, Korea. lhjksk@pusan.ac.kr
- 2Department of Cardiovascular and Thoracic Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea.
- 3Department of Anesthesia and Pain Medicine, Jinhae Yousei Hospital, Jinhae, Korea.
- KMID: 2301457
- DOI: http://doi.org/10.4266/kjccm.2010.25.1.48
Abstract
- Severe bronchospasm during cardiac surgery is an uncommon, but serious problem. A 52-year-old woman with a mosaic attenuation pattern on the whole lung field was scheduled for repair of an atrial septal defect under minimally invasive cardiac surgery. Bronchospasm developed intraoperatively, but the underlying ventilatory impairment, poor performance of one-lung ventilation and initiation of cardiopulmonary bypass delayed diagnosing and treating the bronchospasm. The bronchospasm induced severe pulmonary edema that required postoperative ventilatory care.
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