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KMID : 0882420140860050612
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Korean Journal of Medicine
2014 Volume.86 No. 5 p.612 ~ p.617
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Negative Pressure Pulmonary Edema Together with Pneumopericardium after General Anesthesia
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Hwang Cheol-Gu
Choi Jae-Hoon
Kim Hong-Je
Jang Seong-Pil
Shin Jae-Gyu
Han Dong-Hun
Yang Mi-Jin
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Abstract
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Negative pressure pulmonary edema is an uncommon complication related to general anesthesia. Its main pathophysiology is excessive negative intrathoracic pressure that is caused by an acute upper airway obstruction. Pneumopericardium, the presence of air within the pericardial sac, is another rare condition. The common pathophysiology of pneumopericardium, except for that caused by blunt or penetrating trauma, is barotrauma-induced alveolar rupture caused by positive intrathoracic pressure. Here, we report the case of a 61-year old female patient with negative pulmonary edema and pneumopericardium after general anesthesia. She recovered after conservative management.
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KEYWORD
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General anesthesia, Pulmonary edema, Pneumopericardium
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