Systemic air embolism causing acute stroke and myocardial infarction after percutaneous transthoracic lung biopsy – a case report

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 t...

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Autores principales: Rehwald, Rafael, Loizides, Alexander, Wiedermann, Franz J., Grams, Astrid E., Djurdjevic, Tanja, Glodny, Bernhard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Letter to the Editor
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4859960/
https://www.ncbi.nlm.nih.gov/pubmed/27154545
http://dx.doi.org/10.1186/s13019-016-0478-z
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author Rehwald, Rafael
Loizides, Alexander
Wiedermann, Franz J.
Grams, Astrid E.
Djurdjevic, Tanja
Glodny, Bernhard
author_facet Rehwald, Rafael
Loizides, Alexander
Wiedermann, Franz J.
Grams, Astrid E.
Djurdjevic, Tanja
Glodny, Bernhard
author_sort Rehwald, Rafael
collection PubMed
description 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.
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spelling pubmed-48599602016-05-08 Systemic air embolism causing acute stroke and myocardial infarction after percutaneous transthoracic lung biopsy – a case report Rehwald, Rafael Loizides, Alexander Wiedermann, Franz J. Grams, Astrid E. Djurdjevic, Tanja Glodny, Bernhard J Cardiothorac Surg Letter to the Editor 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. BioMed Central 2016-05-06 /pmc/articles/PMC4859960/ /pubmed/27154545 http://dx.doi.org/10.1186/s13019-016-0478-z Text en © Rehwald et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Letter to the Editor
Rehwald, Rafael
Loizides, Alexander
Wiedermann, Franz J.
Grams, Astrid E.
Djurdjevic, Tanja
Glodny, Bernhard
Systemic air embolism causing acute stroke and myocardial infarction after percutaneous transthoracic lung biopsy – a case report
title Systemic air embolism causing acute stroke and myocardial infarction after percutaneous transthoracic lung biopsy – a case report
title_full Systemic air embolism causing acute stroke and myocardial infarction after percutaneous transthoracic lung biopsy – a case report
title_fullStr Systemic air embolism causing acute stroke and myocardial infarction after percutaneous transthoracic lung biopsy – a case report
title_full_unstemmed Systemic air embolism causing acute stroke and myocardial infarction after percutaneous transthoracic lung biopsy – a case report
title_short Systemic air embolism causing acute stroke and myocardial infarction after percutaneous transthoracic lung biopsy – a case report
title_sort systemic air embolism causing acute stroke and myocardial infarction after percutaneous transthoracic lung biopsy – a case report
topic Letter to the Editor
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4859960/
https://www.ncbi.nlm.nih.gov/pubmed/27154545
http://dx.doi.org/10.1186/s13019-016-0478-z
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