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Korean J Anesthesiol > Volume 53(1); 2007 > Article
Korean Journal of Anesthesiology 2007;53(1):123-126.
DOI: https://doi.org/10.4097/kjae.2007.53.1.123   
Left Ventricular Rupture during Closed-chest Cardiopulmonary Resuscitation after Pneumonectomy: A case report.
Heung Ki Kim, Sung Uk Choi, Hye Won Shin, Hye Won Lee, Hae Ja Lim, Seong Ho Chang
Department of Anesthesiology and Pain Medicine, Korea University Medical Center, College of Medicine, Korea University, Seoul, Korea. painfree365@unitel.co.kr
Abstract
We report a case of circulatory collapse and cardiac arrest immediately after the patient was turned from the lateral decubitus position to the supine position following left pneumonectomy. Closed-chest resuscitation with medical and fluid interventions were inadequate. Emergency chest showed the deviation of heart to the left side and blunted apex. Left ventricular rupture during resuscitation was found subsequent thoracotomy. This rupture and inadequacy of closed-chest resuscitation were felt to be associated with the operative pneumonectomy and pericardiotomy.
Key Words: closed-chest resuscitation; left ventricular rupture; pneumonectomy
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