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KMID : 1005420050070030249
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Journal of Cerebrovascular and Endovascular Neurosurgery
2005 Volume.7 No. 3 p.249 ~ p.251
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Pneumothorax after Cerebral Aneurysm Surgery: Case Report
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Kim Dae-Won
Kang Sung-Don
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Abstract
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A 62-years-old woman admitted to our hospital because of a ruptured posterior communicating artery aneurysm. After clipping of an aneurysm, bilateral pneumothorax and pneumomediastinum was detected on chest X-ray and chest CT. High positive pressures during mechanical ventilation can led to pneumothorax and pneumomediastinum. The dissection of air along the perivascular sheaths of the pulmonary arteries, presumably due to rupture of perivascular alveoli was suggested as the mechanism. A rare case of neurogenic pulmonary edema combined with pneumothorax and pneumomediastinum after surgery of an aneurysm should be kept in mind as one of complications during anesthesia and mechanical ventilation.
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KEYWORD
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Pneumothorax, Mechanical ventilation
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