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Updated: Jul 15, 2026
06:57
Effects of Surgical Masks on Cardiopulmonary Function in Healthy Subjects
Published on: February 12, 2021
[Effects of sudden abdominal decompression on the cardio-pulmonary function]
N Cernea1, Daniela Cernea, Cristina Berteanu
1Clinica Obstetrica-Ginecologie, Spitalul Clinic de Urgenţa, Craiova.
Summary
Sudden cardiac arrest during fibroid removal in an obese patient was linked to increased intra-abdominal pressure (IAP). This condition, intra-abdominal hypertension (IAH), significantly impacts cardiovascular function and can cause cardiac arrest upon abdominal decompression.
Area of Science:
- Cardiology
- Gynecology
- Critical Care Medicine
Background:
- Obesity and large uterine fibromas can increase intra-abdominal pressure.
- Intra-abdominal hypertension (IAH) is defined as an elevated intra-abdominal pressure (IAP) > 10-15 mmHg.
- IAH can lead to abdominal compartment syndrome (ACS), affecting organ perfusion.
Observation:
- A patient with a large uterine fibroma, hypertension (HTA), and obesity experienced cardiac arrest during tumor excision.
- The patient underwent resuscitation but experienced two further cardiac arrests before survival.
- A subsequent hysterectomy with bilateral adnexectomy four months later proceeded without complications.
Findings:
- Sudden abdominal decompression after prolonged IAH can cause a significant drop in cardiac preload.
- This reduction in preload, coupled with increased afterload, can lead to cardiac dysfunction and arrest.
- The cardiovascular system's reduced ability to adapt to rapid pressure changes is a key factor.
Implications:
- Careful monitoring of intra-abdominal pressure is crucial in patients undergoing abdominal surgery, especially those with risk factors like obesity and large masses.
- Understanding the cardiovascular effects of IAH and abdominal decompression is vital for managing high-risk surgical patients.
- This case highlights the potential for severe hemodynamic instability during gynecological procedures involving large tumor removal.
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