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KMID : 0604020100250010048
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Korean Journal of Critical Care Medicine
2010 Volume.25 No. 1 p.48 ~ p.51
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Bronchospasm during Minimally Invasive Cardiac Surgery in a Patient with a Mosaic Attenuation Pattern on Lung Computed Tomography - A Case Report -
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Kim Eun-Soo
Lee Hyeon-Jeong
Park Sung-Chun
Kim Hee-Young
Je Hyung-Gon
Hong Jung-Min
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Abstract
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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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KEYWORD
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bronchospasm, minimally invasive cardiac surgery, mosaic attenuation pattern
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