• A&A practice · Mar 2024

    Case Reports

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

    • Hiroaki Mitsui, Atsushi Fujiwara, Miyuko Mokuno, and Toshiaki Minami.
    • From the Department of Anesthesiology, Osaka Medical and Pharmaceutical University, Takatsuki, Osaka, Japan.
    • A A Pract. 2024 Mar 1; 18 (3): e01754e01754.

    AbstractVarious 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.Copyright © 2024 International Anesthesia Research Society.

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