Unexpected pulmonary edema and cardiac arrest following wedge resection of spontaneous pneumothorax -A case report-
- Author:
Woong HAN
1
;
Gyu Seong KIM
;
Jong Min LEE
;
Chang Mook LIM
;
Hong Seuk YANG
;
Chang Yeong JEONG
;
Dong Ho PARK
Author Information
- Publication Type:Case Report
- From:Anesthesia and Pain Medicine 2022;17(3):298-303
- CountryRepublic of Korea
- Language:English
- Abstract: Reexpansion pulmonary edema is a rare but potentially lethal complication. We report a case of suspected reexpansion pulmonary edema that led to cardiac arrest. Case: A 16-year-old male patient underwent wedge resection due to right pneumothorax. The patient showed pink frothy sputum three hours following surgery, and a chest x-ray showed right unilateral pulmonary edema. Thirteen hours following surgery, the patient continuously showed pink frothy sputum and presented with severe hypoxemia, tachypnea, and tachycardia. After transferring to the intensive care unit (ICU), he developed ventricular tachycardia. Cardiopulmonary resuscitation was performed for 32 min. Chest X-ray showed diffuse bilateral pulmonary edema. Extracorporeal membrane oxygenation was performed. During the 65 days of ICU care, the patient became mentally alert. However, follow-up echocardiography revealed severe heart failure. Conclusions: Rexpansion pulmonary edema can rapidly progress to diffuse bilateral pulmonary edema. Therefore, careful observation is required for the patients who show signs of pulmonary edema after reexpansion.
