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Updated: Jul 20, 2026

A Chronic Cardiac Ischemia Model in Swine Using an Ameroid Constrictor
Published on: October 9, 2017
Right ventricular rupture during closed-chest cardiopulmonary resuscitation after pneumonectomy with pericardiotomy:
1Department of Anesthesiology CCM, University of Pittsburgh, PA 15213, USA. Pkempe@pol.net
Setting:
The collapse of a patient immediately after right pneumonectomy with right pericardiotomy resulted in closed-chest cardiopulmonary resuscitation, subsequent thoracotomy, and demise secondary to right ventricular rupture.
Interventions:
Closed-chest resuscitation with opened and closed chest tubes and medical and fluid interventions were inadequate, necessitating subsequent thoracotomy.
Main Results And Conclusions:
Right ventricular rupture during resuscitation was found during subsequent thoracotomy. This rupture and inadequacy of closed-chest resuscitation were felt to be associated with the operative pneumonectomy and pericardiotomy. Pathophysiology and the role of open-heart vs. closed-chest resuscitative measures are discussed.
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Assessment:
1. Clinical Evaluation:
History:
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Pneumothorax-II
Clinical Manifestations:
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