Document Detail

Coronary air embolism during mitral valvuloplasty.
MedLine Citation:
PMID:  22032066     Owner:  NLM     Status:  In-Process    
A 30-year-old male with a history of rheumatic mitral valve disease presented with progressive exertional dyspnoea. Echocardiography revealed a mitral valve area of 1 cm2, a mitral valve score of 6/16, and absence of mitral regurgitation. Percutaneous mitral valvuloplasty was performed using the multitrack technique. Unexpectedly, one balloon suddenly ruptured during a second inflation. The patient experienced severe chest pain and shock. The electrocardiogram showed ST-segment elevation in leads II, III, and aFV. Prompt resuscitation was performed and right coronary angiography showed a bubble of air trapped at the crux of the right coronary artery, with loss of myocardial blush.The operator injected 100 mcg of nitroglycerin inside the right coronary, followed by intracoronary infusion of normal saline. Ultimately, right coronary angiography revealed that the air was successfully cleared off the artery, with TIMI grade 3 flow and, return of myocardial blush. Eventually, chest pain disappeared, with a favourable haemodynamic condition.
Osama Rifaie; Wail Nammas
Related Documents :
21990786 - Partial recanalization of concomitant internal carotid-middle cerebral arterial occlusi...
12197606 - Cerebral embolism in off-pump coronary artery bypass grafting.
21763096 - Neurologic complaints in a patient with infective endocarditis.
2919206 - Composite in situ vein bypass for upper extremity revascularization.
108966 - Arteriographic demonstration of spontaneous right coronary artery spasm in a patient wi...
10506786 - Usefulness of newly designed pigtail catheter with multiple side holes by reducing inci...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta cardiologica     Volume:  66     ISSN:  0001-5385     ISO Abbreviation:  Acta Cardiol     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-10-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370570     Medline TA:  Acta Cardiol     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  665-7     Citation Subset:  IM    
Cardiology Department, Faculty of Medicine, Ain Shams University, Abassia, Cairo, Egypt.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Transient cortical blindness and successful recovery after coronary bypass surgery.
Next Document:  Use of ultrasonic shears in the harvest of the free osteocutaneous fibula flap.