Ventricular fibrillation due to cardiac herniation upon emergence from general anesthesia in a patient with right completion pneumonectomy: A case report

Chijiiwa Eriko, Shigematsu Kenji, Iwashita Kouhei, Yamaura Ken

Research output: Contribution to journalArticlepeer-review

Abstract

A 66-year-old man with recurrence after right middle and lower lobectomy for lung cancer underwent completion pneumonectomy with peri- cardiotomy. He had a medical history of angina and had undergone percutaneous coronary intervention one year earlier. At the time of emergence from general anesthesia, he suffered ventricular fibrillation, which led to cardiac arrest following a coughing fit. After the return of spontaneous circulation following cardiopulmonary resuscitation, chest X-ray showed findings of cardiac herniation even though the pericardium had been closed with an artificial pericardium. Circulatory dynamics improved after the replacement of the heart and repair of the pericardium with re-thoracotomy. When circulatory disturbance occurs in a patient after complete pericardium closure with artificial pericardium after completion pneumonectomy with pericardiotomy, it is necessary to keep in mind the possibility of cardiac herniation and confirm the diagnosis promptly using imaging.
Original languageEnglish
Pages (from-to)218-221
Number of pages4
Journal循環制御
Volume38
Issue number3
DOIs
Publication statusPublished - 2017
Externally publishedYes

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