Open AccessIatrogenic tracheal rupture after extubation in the context of acute decompensated heart failure and cardiac device implantation: a case report
Author(s) -
Nika Kuridze,
Kakhaber Etsadashvili,
Eteri Minadze,
Nani Gonjilashvili,
Mikheil Tsverava
Publication year - 2021
Publication title -
oxford medical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.169
H-Index - 9
ISSN - 2053-8855
DOI - 10.1093/omcr/omab051
Subject(s) - medicine , pneumomediastinum , subcutaneous emphysema , pneumopericardium , context (archaeology) , surgery , complication , respiratory distress , cardiac tamponade , pulmonary edema , respiratory failure , pneumothorax , anesthesia , lung , paleontology , biology
ABSTRACT Iatrogenic tracheal rupture is a life-threatening airway complication. It has a very low reported incidence and is more prevalent in women and patients over 50 years of age. The most frequent clinical manifestations of tracheal injury are subcutaneous emphysema and respiratory distress. We report a case of a 65-year-old woman with cardiac resynchronization therapy defibrillator implantation under general anesthesia. Shortly after extubation, dyspnea and subcutaneous emphysema appeared. The X-ray showed pneumomediastinum, pneumopericardium and pneumoperitoneum. The tracheal rupture was confirmed by bronchoscopy. After conservative treatment, the patient's well-being improved, and she was discharged from the hospital in a satisfactory condition.