Systemic air embolism causing acute stroke and myocardial infarction after percutaneous transthoracic lung biopsy - a case report.
J Cardiothorac Surg
; 11(1): 80, 2016 May 06.
Article
in En
| MEDLINE
| ID: mdl-27154545
ABSTRACT
The air embolism in this case was likely to have been caused by positioning the patient in a prone position, which was associated with the lesion to be biopsied being at a maximum height over the left atrium. Due to the resulting negative pressure, air entered through a fistula that formed between the airspace and the pulmonary vein. The air could have been trapped in the left atrium by positioning the patient in left lateral position. The event itself could have been prevented by positioning the patient in an ipsilateral dependent position during the biopsy. In addition to hyperbaric oxygen therapy, the preferred treatment options are positioning maneuvers, administration of pure oxygen, and heparinization.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Biopsy, Needle
/
Stroke
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Embolism, Air
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Myocardial Infarction
Type of study:
Diagnostic_studies
/
Etiology_studies
Limits:
Humans
/
Male
/
Middle aged
Language:
En
Journal:
J Cardiothorac Surg
Year:
2016
Document type:
Article
Affiliation country: