تقرير
Intraoperative spontaneous tension pneumothorax during robotic-assisted coronary artery bypass grafting.
| العنوان: | Intraoperative spontaneous tension pneumothorax during robotic-assisted coronary artery bypass grafting. |
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| المؤلفون: | Zabani IA; Department of Anesthesia, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia., Alhassoun AM; Department of Anesthesia, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia., Ahmed HS; Department of Anesthesia, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia., Bogis AA; Cardiac Surgery Section, Department of Cardiovascular, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia., Elmahrouk AF; Cardiac Surgery Section, Department of Cardiovascular, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.; Department of Cardiothoracic Surgery, Faculty of Medicine Tanta University, Tanta, Egypt., Jamjoom AA; Cardiac Surgery Section, Department of Cardiovascular, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia., AlUthman US; Cardiac Surgery Section, Department of Cardiovascular, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia. |
| المصدر: | Journal of cardiac surgery [J Card Surg] 2022 Dec; Vol. 37 (12), pp. 5536-5538. Date of Electronic Publication: 2022 Nov 06. |
| نوع المنشور: | Case Reports |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley-Blackwell Country of Publication: United States NLM ID: 8908809 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1540-8191 (Electronic) Linking ISSN: 08860440 NLM ISO Abbreviation: J Card Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Hoboken, NJ : Wiley-Blackwell Original Publication: Mount Kisco, N.Y. : Futura Pub. Co., Inc., [c1986- |
| مواضيع طبية MeSH: | Pneumothorax*/etiology , Pneumothorax*/surgery , Robotic Surgical Procedures*/adverse effects , Mammary Arteries*/surgery, Humans ; Coronary Artery Bypass/adverse effects ; Coronary Artery Bypass/methods ; Pleura ; Minimally Invasive Surgical Procedures/methods ; Treatment Outcome |
| مستخلص: | Patients undergoing robotic-assisted coronary artery bypass grafting are increasing. Several complications have emerged with the increasing use of minimally invasive procedures. We reported a case of spontaneous tension pneumothorax that developed in the ventilated lung during robotic assisted left internal mammary artery harvesting causing severe hemodynamic instability. A sudden rise of airway pressure occurred, and the patient became hypotensive. Immediately, the surgeon was notified to look at the right pleura. Pneumothorax was identified, the right pleura was opened using robotic arms, and the right lung was decompressed. A small emphysematous bulla was identified and stabled. Proper identification of the procedure-associated complications is essential for timely management. Tension pneumothorax is a potentially fatal complication, especially in patients under positive pressure ventilation. (© 2022 Wiley Periodicals LLC.) |
| References: | Hammal F, Nagase F, Menon D, Ali I, Nagendran J, Stafinski T. Robot-assisted coronary artery bypass surgery: a systematic review and meta-analysis of comparative studies. Can J Surg. 2020;63(6):E491-E508. doi:10.1503/cjs.013318. Agrawal D, Nambala S. A lethal tension pneumothorax during minimally invasive coronary artery bypass surgery: can transesophageal echocardiography pick it? Ann Card Anaesth. 2016;19(4):747-749. doi:10.4103/0971-9784.191543. Roberts DJ, Leigh-Smith S, Faris PD, et al. Clinical manifestations of tension pneumothorax: protocol for a systematic review and meta-analysis. Syst Rev. 2014;3:3. Published 2014 Jan 4. doi:10.1186/2046-4053-3-3. Hsu CW. Iatrogenic pneumothorax related to mechanical ventilation. World J Crit Care Med. 2014;3(1):8-14. doi:10.5492/wjccm.v3.i1.8. PMID: 24834397; PMCID: PMC4021154. McGinn JT, Jr, Usman S, Lapierre H, Pothula VR, Mesana TG, Ruel M. Minimally invasive coronary artery bypass grafting: dual-center experience in 450 consecutive patients. Circulation. 2009;120(11 Suppl):S78-S84. doi:10.1161/CIRCULATIONAHA.108.840041. Caso R, Kelly CH, Marshall MB. Single lumen endotracheal intubation with carbon dioxide insufflation for lung isolation in thoracic surgery. Surg Endosc. 2019;33(10):3287-3290. doi:10.1007/s00464-018-06614-9. Epub 2018 Dec 3. PMID: 30511311. |
| فهرسة مساهمة: | Keywords: minimally invasive surgery; robotic-assisted coronary artery bypass; tension pneumothorax |
| تواريخ الأحداث: | Date Created: 20221106 Date Completed: 20230105 Latest Revision: 20230111 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1111/jocs.17115 |
| PMID: | 36335593 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1540-8191 |
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| DOI: | 10.1111/jocs.17115 |