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KMID : 1155520200150010078
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Anesthesia and Pain Medicine
2020 Volume.15 No. 1 p.78 ~ p.82
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Cardiac arrest caused by contralateral tension pneumothorax during one-lung ventilation - A case report ?
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Lee Soo-Kyung
Seo Kwon-Hui
Kim You-Jung
Youn Eun-Ji
Lee Jun-Suck
Park Ji-Eun
Moon Hyun-Soo
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Abstract
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Background: Tension pneumothorax on the contralateral lung during one-lung ventilation (OLV) can be life-threatening if not rapidly diagnosed and managed. However, diagnosis is often delayed because the classic signs of tension pneumothorax are similar to clinical manifestations commonly observed during OLV.
Case: We report a case of contralateral tension pneumothorax in a patient undergoing right upper lobectomy during OLV. The patient suffered from sudden cardiac arrest and was assisted by extra-corporeal membrane oxygenation.
Conclusions: Contralateral pneumothorax during OLV is rare but can occur at any time. Therefore, anesthesiologists should consider this critical complication.
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KEYWORD
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Heart arrest, One-lung ventilation, Pneumothorax, Thoracic surgery
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