Cardiac Tamponade Caused By Carbon Dioxide Insufflation During Robot-Assisted Thoracic Surgery: A Case Report

Various complications can occur during robot-assisted thoracic surgery for mediastinal tumors owing to carbon dioxide (CO2) insufflation. This study reports the case of a 43-year-old woman who underwent robot-assisted surgery for an anterior mediastinal tumor with the subxiphoid approach. Shortly af...

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Bibliographic Details
Published inA&A practice Vol. 18; no. 3; p. e01754
Main Authors Mitsui, Hiroaki, Fujiwara, Atsushi, Mokuno, Miyuko, Minami, Toshiaki
Format Journal Article
LanguageEnglish
Published United States 01.03.2024
Subjects
Adult
Carbon Dioxide - adverse effects
Cardiac Tamponade - etiology
Female
Humans
Insufflation - adverse effects
Mediastinal Neoplasms
Robotic Surgical Procedures - adverse effects
Robotics
Thoracic Surgery
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Summary:Various complications can occur during robot-assisted thoracic surgery for mediastinal tumors owing to carbon dioxide (CO2) insufflation. This study reports the case of a 43-year-old woman who underwent robot-assisted surgery for an anterior mediastinal tumor with the subxiphoid approach. Shortly after starting CO2 insufflation, the blood pressure decreased significantly. Subsequent examination of the mediastinum revealed a left-sided pericardial injury. Cardiac tamponade due to entry of CO2 gas into the pericardial cavity was suspected. A deliberate incision was made in the right pericardium, ultimately resolving the cardiac tamponade and substantially improving the patient's blood pressure.
ISSN:2575-3126
DOI:10.1213/XAA.0000000000001754