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Acute Respiratory Distress Syndrome Following Minimally Invasive Cardiac Surgery
Takashi Nagase1, Noriyuki Kashiyama1, Masahiro Ryugo1
1Cardiovascular Surgery, Fukui Cardiovascular Center, Fukui, JPN.
Cureus
|March 13, 2025
Summary
Acute respiratory distress syndrome (ARDS) is a rare complication following minimally invasive cardiac surgery (MICS). Early diagnosis and treatment of ARDS in MICS patients can lead to improved respiratory outcomes.
Area of Science:
- Cardiology
- Pulmonology
- Critical Care Medicine
Background:
- Minimally invasive cardiac surgery (MICS) is associated with a low incidence of acute respiratory distress syndrome (ARDS).
- This case report details a rare instance of ARDS following aortic valve replacement via right thoracotomy.
Observation:
- A 77-year-old female patient developed acute respiratory failure post-MICS, necessitating re-intubation.
- Chest radiography showed bilateral heterogeneous infiltrates, leading to an ARDS diagnosis after excluding other causes.
Findings:
- The patient received inhaled nitric oxide, methylprednisolone, and Sivelestat.
- Respiratory status improved, allowing for extubation after eight days and subsequent transfer to rehabilitation.
Implications:
- This case highlights the importance of early recognition and prompt intervention for ARDS in the MICS population.
- Aggressive management strategies can contribute to favorable outcomes in these critically ill patients.
Keywords:
acute respiratory distress syndrome [ards]cardiovascular and thoracic surgeryminimally invasive surgeriesperioperative cardiovascular evaluation and managementrespiratory supportMore Related Videos
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