2022
DOI: 10.1111/jocs.17115
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Intraoperative spontaneous tension pneumothorax during robotic‐assisted coronary artery bypass grafting

Abstract: 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 pl… Show more

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(2 citation statements)
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“…Although pneumothorax often occurs in patients with severe COPD, emphysema, or reduced respiratory function, general anesthesia can be difficult because one-lung ventilation sometimes fails to maintain oxygenation and requires two-lung ventilation [ 1 ] or causes contralateral pneumothorax [ 2 , 3 ]. In such high-risk cases, several treatment options have been reported.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Although pneumothorax often occurs in patients with severe COPD, emphysema, or reduced respiratory function, general anesthesia can be difficult because one-lung ventilation sometimes fails to maintain oxygenation and requires two-lung ventilation [ 1 ] or causes contralateral pneumothorax [ 2 , 3 ]. In such high-risk cases, several treatment options have been reported.…”
Section: Discussionmentioning
confidence: 99%
“…The former is usually caused by a ruptured bulla, while the latter may occur in high-risk patients, such as those with severe chronic obstructive pulmonary disease (COPD) or patients with impaired respiratory function. However, it may be difficult to perform the procedure under general anesthesia for such patients because of the maintenance of one-lung ventilation or the associated risk of contralateral pneumothorax [ 1 - 3 ]. Although several treatment options, such as pleurodesis [ 4 ] or insertion of an endobronchial Watanabe spigot (EWS) [ 5 , 6 ] have been reported, these methods are difficult to perform and sometimes unsuccessful [ 6 ].…”
Section: Introductionmentioning
confidence: 99%