Resuscitation of a case of cardiac arrest complicated by resection of a giant mediastinal tumor: a case report and literature review

TL;DR

A 54-year-old woman survived cardiac arrest after surgery to remove a large chest tumor, thanks to quick action and advanced resuscitation techniques.

Contribution

This case highlights effective resuscitation strategies for cardiac arrest following giant mediastinal tumor resection.

Findings

The patient's cardiac arrest was caused by mediastinal mass syndrome and acute re-expansion pulmonary edema.

Successful resuscitation relied on early recognition and adherence to advanced protocols.

Multidisciplinary planning and monitoring are crucial for managing high-risk tumor surgeries.

Abstract

This case report describes the successful resuscitation of a 54-year-old female who experienced cardiac arrest following resection of a giant mediastinal tumor (GMT). The patient’s hemodynamic collapse was attributed to mediastinal mass syndrome, mediastinal swing, and acute re-expansion pulmonary edema. This report highlights the challenges of perioperative management in GMTs, emphasizing the importance of multidisciplinary preoperative planning, continuous hemodynamic monitoring, and prompt intervention during complications. Early recognition of hemodynamic instability, coupled with adherence to advanced resuscitation protocols, is critical for improving survival in high-risk mediastinal tumor surgeries.

Figures