1. Unexpected postoperative course after right pneumonectomy
- Author
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Carlos A. Montero, Miguel Catalán, Emilio Canalis, Josep Maria Gimferrer, Guillermina Fita, and Mireia Serra
- Subjects
Pulmonary and Respiratory Medicine ,Male ,Reoperation ,medicine.medical_specialty ,Hernia ,Lung Neoplasms ,Digoxin ,Heart Diseases ,medicine.medical_treatment ,Critical Care and Intensive Care Medicine ,Amiodarone ,Pneumonectomy ,Heart Rate ,Carcinoma, Non-Small-Cell Lung ,medicine ,Humans ,Cardiopulmonary resuscitation ,Heart Atria ,Herniorrhaphy ,business.industry ,Cardiac Pacing, Artificial ,Atrial fibrillation ,Middle Aged ,medicine.disease ,Surgery ,Radiography ,Ventricular fibrillation ,Cardiology and Cardiovascular Medicine ,business ,Atrioventricular block ,Anti-Arrhythmia Agents ,medicine.drug - Abstract
(CHEST 2000; 117:1184 ‐1185) A 58-year-old male patient with noncomplicated alcoholic liver disease presented with a right upper parahilar pulmonary mass after minor blunt chest trauma. After an appropriate workup, nonsmall cell carcinoma of the lung was diagnosed. A right intrapericardial pneumonectomy was performed. A silastic chest drain with no negative pressure was left connected to a compensatory postpneumonectomy system. The patient was extubated 30 min after the operation. A few minutes later while in the recovery room, the patient developed atrial fibrillation with fast heart rate of 150 beats/min. Digoxin and amiodarone were started. Shortly thereafter, ventricular fibrillation required a 300-J/s direct current shock. The patient was intubated again, and cardiopulmonary resuscitation was performed. Complete atrioventricular block developed, and a percu
- Published
- 2000