{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:30:36Z","timestamp":1787776236850,"version":"build-2784847793"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>We report a case of a 74-year-old female with a retrosternal goiter undergoing video-assisted thoracic surgery (VATS) for a left lung lower lobectomy, necessitating one-lung ventilation (OLV). We encountered a highly unusual complication: contralateral tension pneumothorax. Forty-five minutes into the surgical procedure, a sudden cardiovascular collapse occurred. After confirming the correct positioning of the double-lumen tube and excluding mediastinal mass syndrome (MMS), tension pneumothorax was suspected. Immediate needle decompression followed by right chest tube thoracostomy resulted in a successful patient outcome. This case highlights the importance of maintaining a high index of suspicion for contralateral tension pneumothorax in patients with sudden cardiovascular collapse during OLV.<\/jats:p>","DOI":"10.4103\/aca.aca_51_24","type":"journal-article","created":{"date-parts":[[2025,1,24]],"date-time":"2025-01-24T07:00:26Z","timestamp":1737702026000},"page":"72-75","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A Case of Life-Threatening Contralateral Tension Pneumothorax during Video-Assisted Thoracic Surgery in a Patient with Retrosternal Goiter"],"prefix":"10.4103","volume":"28","author":[{"given":"Nimitha","family":"Prasad","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sucheta S.","family":"Gaiwal","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,1,24]]},"reference":[{"key":"R1-20250124","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1097\/00063198-200107000-00011","article-title":"Mediastinal tumors","volume":"7","author":"Yoneda","year":"2001","journal-title":"Curr Opin Pulm Med"},{"key":"R2-20250124","doi-asserted-by":"crossref","DOI":"10.1186\/s13256-020-02556-w","article-title":"Contralateral tension pneumothorax during video-assisted thoracic surgery for lung cancer in a patient with obesity and rib fractures:A case report and review of the literature","volume":"14","author":"Kumata","year":"2020","journal-title":"J Med Case Rep"},{"key":"R3-20250124","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/j.redar.2017.08.001","article-title":"Review of difficult airway management in thoracic surgery","volume":"65","author":"Granell","year":"2018","journal-title":"Rev Esp Anestesiol Reanim (Engl Ed)"},{"key":"R4-20250124","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1111\/crj.12470","article-title":"Contralateral tension pneumothorax during video-assisted thorascoscopic surgery for lung cancer:A case report","volume":"12","author":"Arai","year":"2018","journal-title":"Clin Respir J"},{"key":"R5-20250124","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1097\/EJA.0b013e328324b7f8","article-title":"Perioperative anaesthetic management of mediastinal mass in adults","volume":"26","author":"Erdos","year":"2009","journal-title":"Eur J Anaesthesiol"},{"key":"R6-20250124","doi-asserted-by":"crossref","first-page":"826","DOI":"10.1097\/00000542-200404000-00012","article-title":"Perioperative cardiorespiratory complications in adults with mediastinal mass","volume":"100","author":"B\u00e9chard","year":"2004","journal-title":"Anesthesiology"},{"key":"R7-20250124","doi-asserted-by":"crossref","first-page":"206","DOI":"10.4097\/kjae.2010.59.3.206","article-title":"Patient repositioning and the amelioration of airway obstruction by an anterior mediastinal tumor during general anesthesia:A case report","volume":"59","author":"Choi","year":"2010","journal-title":"Korean J Anesthesiol"}],"container-title":["Annals of Cardiac Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_51_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:02:14Z","timestamp":1787774534000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_51_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/aca.aca_51_24","relation":{},"ISSN":["0971-9784","0974-5181"],"issn-type":[{"value":"0971-9784","type":"print"},{"value":"0974-5181","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-02-26","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-21","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}