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Korean J Crit Care Med > Volume 25(1); 2010 > Article
Korean Journal of Critical Care Medicine 2010;25(1): 48-51. doi: https://doi.org/10.4266/kjccm.2010.25.1.48
Bronchospasm during Minimally Invasive Cardiac Surgery in a Patient with a Mosaic Attenuation Pattern on Lung Computed Tomography: A Case Report
Eun Soo Kim, Hyeon Jeong Lee, Sung Chun Park, Hee Young Kim, Hyung Gon Je, Jung Min Hong
1Department of Anesthesia and Pain Medicine, Pusan National University Hospital, Busan, Korea. lhjksk@pusan.ac.kr
2Department of Cardiovascular and Thoracic Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea.
3Department of Anesthesia and Pain Medicine, Jinhae Yousei Hospital, Jinhae, Korea.
ABSTRACT
Severe bronchospasm during cardiac surgery is an uncommon, but serious problem. A 52-year-old woman with a mosaic attenuation pattern on the whole lung field was scheduled for repair of an atrial septal defect under minimally invasive cardiac surgery. Bronchospasm developed intraoperatively, but the underlying ventilatory impairment, poor performance of one-lung ventilation and initiation of cardiopulmonary bypass delayed diagnosing and treating the bronchospasm. The bronchospasm induced severe pulmonary edema that required postoperative ventilatory care.
Key Words: bronchospasm; minimally invasive cardiac surgery; mosaic attenuation pattern
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