Pulmonary embolism caused by a carbon dioxide blower during off-pump coronary artery bypass grafting.
J Anesth
; 24(1): 114-6, 2010 Feb.
Article
en En
| MEDLINE
| ID: mdl-20175289
ABSTRACT
We report a rare case of pulmonary embolism (PE) caused by a carbon dioxide (CO2) blower during off-pump coronary artery bypass grafting (OPCAB). When the anastomosis of the right internal thoracic artery to left anterior descending artery was performed, the operator tore the right ventricle outflow track (RVOT) that was adjacent to the left anterior descending artery. Immediately after the anastomosis and repair of the torn RVOT with CO2 blower, the systolic pulmonary artery pressure (PAP) increased from 28 to 64 mmHg, and end-tidal CO2 decreased from 32 to 12 mmHg. Because transesophageal echocardiograph (TEE) showed numerous gas bubbles in the main pulmonary artery, we diagnosed PE caused by invasion of CO2 gas bubbles via the torn RVOT. Although a CO2 blower is useful to enhance visualization of the anastomosis during OPCAB, it should not be used for the venous system because it may cause CO2 embolism.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Embolia Pulmonar
/
Dióxido de Carbono
/
Puente de Arteria Coronaria Off-Pump
/
Embolia Aérea
/
Complicaciones Intraoperatorias
Límite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Anesth
Asunto de la revista:
ANESTESIOLOGIA
Año:
2010
Tipo del documento:
Article
País de afiliación:
Japón