Contralateral tension pneumothorax during video-assisted thorascoscopic surgery for lung cancer: a case report.
Clin Respir J
; 12(1): 298-301, 2018 Jan.
Article
em En
| MEDLINE
| ID: mdl-26888019
ABSTRACT
Contralateral tension pneumothorax during one-lung ventilation is a rare but catastrophic surgical complication. A 72-year-old Japanese male with lung cancer underwent right upper lobectomy with video-assisted thoracoscopic surgery. Despite use of various methods for maintaining oxygenation during one-lung ventilation, percutaneous oxygen saturation was unstable from the start of surgery and suddenly decreased with a drop in blood pressure. An intraoperative chest X-ray revealed a tension pneumothorax of the dependent lung. Insertion of a chest drain saved the patient's life. This case suggests that a contralateral tension pneumothorax should be considered as a possible cause when adequate oxygenation cannot be maintained during one-lung ventilation.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pneumonectomia
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Pneumotórax
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Monitorização Intraoperatória
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Cirurgia Torácica Vídeoassistida
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Complicações Intraoperatórias
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Neoplasias Pulmonares
Tipo de estudo:
Diagnostic_studies
Limite:
Aged
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Humans
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Male
Idioma:
En
Revista:
Clin Respir J
Ano de publicação:
2018
Tipo de documento:
Article