International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 4, Issue 5 | Case Report | Open Access DOI

Contralateral Tension Pneumothorax During Video-Assisted Thoracic Surgery: A Case Report of A Rare Complication

Hung Pan HO^*

Hung Pan HO*, Lok Hang CHAN

Department of Anaesthesiology, Perioperative and Pain Medicine, Queen Elizabeth Hospital, Hong Kong

^*Correspondence to: Hung Pan HO 

Abstract

Spontaneous pneumothorax during one lung ventilation is a life-threatening emergency. We report a case of 60-year-old woman with undergoing video-assisted thoracoscopic surgery (VATS) left upper division segmentectomy for left upper lobe adenocarcinoma. During the operation, the patient developed sudden hypotension and desaturation with increase in airway pressure. Fiberoptic bronchoscopy revealed compressed right-sided bronchus. Intraoperative chest X-ray confirmed the diagnosis of right tension pneumothorax and chest drain was inserted. This case shows the importance of maintaining high level of suspicion to detect and manage such condition.

Keywords:

Thoracoscopic surgery; Pneumothorax; Lung

Citation:

Hung Pan HO, Lok Hang CHAN. Contralateral Tension Pneumothorax During Video-Assisted Thoracic Surgery: A Case Report of A Rare Complication. Int Clinc Med Case Rep Jour. 2025;4(5):1-7.