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Cardiac arrest caused by contralateral tension pneumothorax during one-lung ventilation: - A case report
Soo Kyung Lee1, Kwon Hui Seo1, You Jung Kim1
1Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University, Chuncheon, Korea.
Background:
Tension pneumothorax on the contralateral lung during one-lung ventilation (OLV) can be life-threatening if not rapidly diagnosed and managed. However, diagnosis is often delayed because the classic signs of tension pneumothorax are similar to clinical manifestations commonly observed during OLV.
Case:
We report a case of contralateral tension pneumothorax in a patient undergoing right upper lobectomy during OLV. The patient suffered from sudden cardiac arrest and was assisted by extra-corporeal membrane oxygenation.
Conclusions:
Contralateral pneumothorax during OLV is rare but can occur at any time. Therefore, anesthesiologists should consider this critical complication.
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