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Korean J Anesthesiol. 2007 Jul;53(1):123-126. Korean. Case Report.
Kim HK , Choi SU , Shin HW , Lee HW , Lim HJ , Chang SH .
Department of Anesthesiology and Pain Medicine, Korea University Medical Center, College of Medicine, Korea University, Seoul, Korea.

We report a case of circulatory collapse and cardiac arrest immediately after the patient was turned from the lateral decubitus position to the supine position following left pneumonectomy. Closed-chest resuscitation with medical and fluid interventions were inadequate. Emergency chest showed the deviation of heart to the left side and blunted apex. Left ventricular rupture during resuscitation was found subsequent thoracotomy. This rupture and inadequacy of closed-chest resuscitation were felt to be associated with the operative pneumonectomy and pericardiotomy.

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