A Case of Life-Threatening Contralateral Tension Pneumothorax during Video-Assisted Thoracic Surgery in a Patient with Retrosternal Goiter
We report a case of a 74-year-old female with a retrosternal goiter undergoing video-assisted thoracic surgery (VATS) for a left lung lower lobectomy, necessitating one-lung ventilation (OLV). We encountered a highly unusual complication: contralateral tension pneumothorax. Forty-five minutes into t...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Annals of Cardiac Anaesthesia |
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| Online Access: | https://journals.lww.com/10.4103/aca.aca_51_24 |
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| author | Nimitha Prasad Sucheta S. Gaiwal |
| author_facet | Nimitha Prasad Sucheta S. Gaiwal |
| author_sort | Nimitha Prasad |
| collection | DOAJ |
| description | We report a case of a 74-year-old female with a retrosternal goiter undergoing video-assisted thoracic surgery (VATS) for a left lung lower lobectomy, necessitating one-lung ventilation (OLV). We encountered a highly unusual complication: contralateral tension pneumothorax. Forty-five minutes into the surgical procedure, a sudden cardiovascular collapse occurred. After confirming the correct positioning of the double-lumen tube and excluding mediastinal mass syndrome (MMS), tension pneumothorax was suspected. Immediate needle decompression followed by right chest tube thoracostomy resulted in a successful patient outcome. This case highlights the importance of maintaining a high index of suspicion for contralateral tension pneumothorax in patients with sudden cardiovascular collapse during OLV. |
| format | Article |
| id | doaj-art-61b9aded43824206bc588580f4e44b24 |
| institution | Kabale University |
| issn | 0971-9784 0974-5181 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Cardiac Anaesthesia |
| spelling | doaj-art-61b9aded43824206bc588580f4e44b242025-02-10T10:46:25ZengWolters Kluwer Medknow PublicationsAnnals of Cardiac Anaesthesia0971-97840974-51812025-01-01281727510.4103/aca.aca_51_24A Case of Life-Threatening Contralateral Tension Pneumothorax during Video-Assisted Thoracic Surgery in a Patient with Retrosternal GoiterNimitha PrasadSucheta S. GaiwalWe report a case of a 74-year-old female with a retrosternal goiter undergoing video-assisted thoracic surgery (VATS) for a left lung lower lobectomy, necessitating one-lung ventilation (OLV). We encountered a highly unusual complication: contralateral tension pneumothorax. Forty-five minutes into the surgical procedure, a sudden cardiovascular collapse occurred. After confirming the correct positioning of the double-lumen tube and excluding mediastinal mass syndrome (MMS), tension pneumothorax was suspected. Immediate needle decompression followed by right chest tube thoracostomy resulted in a successful patient outcome. This case highlights the importance of maintaining a high index of suspicion for contralateral tension pneumothorax in patients with sudden cardiovascular collapse during OLV.https://journals.lww.com/10.4103/aca.aca_51_24contralateral tension pneumothoraxone-lung ventilationvideo-assisted thoracic surgery |
| spellingShingle | Nimitha Prasad Sucheta S. Gaiwal A Case of Life-Threatening Contralateral Tension Pneumothorax during Video-Assisted Thoracic Surgery in a Patient with Retrosternal Goiter Annals of Cardiac Anaesthesia contralateral tension pneumothorax one-lung ventilation video-assisted thoracic surgery |
| title | A Case of Life-Threatening Contralateral Tension Pneumothorax during Video-Assisted Thoracic Surgery in a Patient with Retrosternal Goiter |
| title_full | A Case of Life-Threatening Contralateral Tension Pneumothorax during Video-Assisted Thoracic Surgery in a Patient with Retrosternal Goiter |
| title_fullStr | A Case of Life-Threatening Contralateral Tension Pneumothorax during Video-Assisted Thoracic Surgery in a Patient with Retrosternal Goiter |
| title_full_unstemmed | A Case of Life-Threatening Contralateral Tension Pneumothorax during Video-Assisted Thoracic Surgery in a Patient with Retrosternal Goiter |
| title_short | A Case of Life-Threatening Contralateral Tension Pneumothorax during Video-Assisted Thoracic Surgery in a Patient with Retrosternal Goiter |
| title_sort | case of life threatening contralateral tension pneumothorax during video assisted thoracic surgery in a patient with retrosternal goiter |
| topic | contralateral tension pneumothorax one-lung ventilation video-assisted thoracic surgery |
| url | https://journals.lww.com/10.4103/aca.aca_51_24 |
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