title: Intraoperative occurrence of a pneumopericardium during double-lung transplantation.
abstract: Pneumopericardium is rare and has been reported secondary to chest trauma. We report a case of tension pneumopericardium occurring during double-lung transplantation, where intraoperative transoesophageal echocardiography first showed a hypokinetic left ventricle and a few minutes later a compression of its anterolateral portion due to pneumopericardium. Although the pericardium was opened, left ventricular function remained depressed, necessitating extracorporeal membrane oxygenation, which was withdrawn after 48 h of assistance when left ventricular function had recovered. The patient was extubated on the seventh postoperative day but died of multiorgan failure on the 64 th postoperative day.
authors: Department of Anesthesiology, Foch Hospital, Suresnes, France.
authors: Marie-Louise
authors: ML
authors: Felten
authors: Virginie
authors: V
authors: Dumans-Nizard
authors: Philippe
authors: P
authors: Puyo
authors: Marc
authors: M
authors: Fischler
mesh_terms: D017548:Echocardiography, Transesophageal; D015199:Extracorporeal Membrane Oxygenation; D017809:Fatal Outcome; D005260:Female; D006439:Hemodynamics; D006801:Humans; D007432:Intraoperative Period; D016040:Lung Transplantation / Q000009:adverse effects*; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000209:etiology; D011026:Pneumopericardium / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D011656:Pulmonary Emphysema / Q000175:diagnosis / Q000601:surgery*; D013908:Thoracotomy; D013997:Time Factors; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000209:etiology / Q000503:physiopathology; D016277:Ventricular Function, Left
keywords: Lung transplantation; Pneumopericardium; Transoesophageal echocardiography