Document Detail

Fatal air embolism during thoracotomy for gunshot injury to the lung. Report of a case.
MedLine Citation:
PMID:  1092924     Owner:  NLM     Status:  MEDLINE    
Fatal coronary air embolism occurred during thoracotomy in a patient with a gunshot wound involving the hilum of the right lung. Embolism was observed during a second period of failure of heart action. Evidently, air entered the pulmonary veins from the bronchus, which was receiving positive-pressure ventilation. The literature contains reports of only 3 similar cases, but we suspect that air embolism may be responsible for death and morbidity in additional cases in which accidental or iatrogenic lung trauma has produced a pathway between the bronchial tree and the pulmonary veins.
A T Donato; E Arciniegas; C R Lam
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of thoracic and cardiovascular surgery     Volume:  69     ISSN:  0022-5223     ISO Abbreviation:  J. Thorac. Cardiovasc. Surg.     Publication Date:  1975 May 
Date Detail:
Created Date:  1975-07-14     Completed Date:  1975-07-14     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0376343     Medline TA:  J Thorac Cardiovasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  827-9     Citation Subset:  AIM; IM    
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MeSH Terms
Coronary Disease / etiology*
Embolism, Air / etiology*
Lung Injury*
Positive-Pressure Respiration / adverse effects
Thoracic Injuries / surgery
Wounds, Gunshot / surgery*

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