Right ventricular rupture during closed-chest cardiopulmonary resuscitation after pneumonectomy with pericardiotomy: a case report

Crit Care Med. 1999 Jul;27(7):1378-9. doi: 10.1097/00003246-199907000-00033.


Setting: The collapse of a patient immediately after right pneumonectomy with right pericardiotomy resulted in closed-chest cardiopulmonary resuscitation, subsequent thoracotomy, and demise secondary to right ventricular rupture.

Interventions: Closed-chest resuscitation with opened and closed chest tubes and medical and fluid interventions were inadequate, necessitating subsequent thoracotomy.

Main results and conclusions: Right ventricular rupture during resuscitation was found during subsequent thoracotomy. This rupture and inadequacy of closed-chest resuscitation were felt to be associated with the operative pneumonectomy and pericardiotomy. Pathophysiology and the role of open-heart vs. closed-chest resuscitative measures are discussed.

Publication types

  • Case Reports

MeSH terms

  • Cardiopulmonary Resuscitation / adverse effects*
  • Cardiopulmonary Resuscitation / methods
  • Fatal Outcome
  • Heart Injuries / etiology*
  • Heart Rupture / etiology*
  • Heart Ventricles
  • Humans
  • Male
  • Pericardiectomy*
  • Pneumonectomy*
  • Thoracotomy