Iatrogenic tracheal rupture after extubation in the context of acute decompensated heart failure and cardiac device implantation: a case report

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...

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Autores principales: Kuridze, Nika, Etsadashvili, Kakhaber, Minadze, Eteri, Gonjilashvili, Nani, Tsverava, Mikheil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8297638/
https://www.ncbi.nlm.nih.gov/pubmed/34306717
http://dx.doi.org/10.1093/omcr/omab051
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author Kuridze, Nika
Etsadashvili, Kakhaber
Minadze, Eteri
Gonjilashvili, Nani
Tsverava, Mikheil
author_facet Kuridze, Nika
Etsadashvili, Kakhaber
Minadze, Eteri
Gonjilashvili, Nani
Tsverava, Mikheil
author_sort Kuridze, Nika
collection PubMed
description 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.
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spelling pubmed-82976382021-07-23 Iatrogenic tracheal rupture after extubation in the context of acute decompensated heart failure and cardiac device implantation: a case report Kuridze, Nika Etsadashvili, Kakhaber Minadze, Eteri Gonjilashvili, Nani Tsverava, Mikheil Oxf Med Case Reports Case Report 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. Oxford University Press 2021-07-21 /pmc/articles/PMC8297638/ /pubmed/34306717 http://dx.doi.org/10.1093/omcr/omab051 Text en © The Author(s) 2021. Published by Oxford University Press. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kuridze, Nika
Etsadashvili, Kakhaber
Minadze, Eteri
Gonjilashvili, Nani
Tsverava, Mikheil
Iatrogenic tracheal rupture after extubation in the context of acute decompensated heart failure and cardiac device implantation: a case report
title Iatrogenic tracheal rupture after extubation in the context of acute decompensated heart failure and cardiac device implantation: a case report
title_full Iatrogenic tracheal rupture after extubation in the context of acute decompensated heart failure and cardiac device implantation: a case report
title_fullStr Iatrogenic tracheal rupture after extubation in the context of acute decompensated heart failure and cardiac device implantation: a case report
title_full_unstemmed Iatrogenic tracheal rupture after extubation in the context of acute decompensated heart failure and cardiac device implantation: a case report
title_short Iatrogenic tracheal rupture after extubation in the context of acute decompensated heart failure and cardiac device implantation: a case report
title_sort iatrogenic tracheal rupture after extubation in the context of acute decompensated heart failure and cardiac device implantation: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8297638/
https://www.ncbi.nlm.nih.gov/pubmed/34306717
http://dx.doi.org/10.1093/omcr/omab051
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