Document Detail

Persistent systemic air embolism and delayed pulmonary hemorrhage after weaning from cardiopulmonary bypass--a case report.
MedLine Citation:
PMID:  17424757     Owner:  NLM     Status:  MEDLINE    
Systemic air embolism (SAE) occurring during cardiac surgery is usually associated with high morbidity and mortality. We present a fatal case of persistent SAE identified by transesophageal echocardiography (TEE) after weaning from cardiopulmonary bypass (CPB). Perplexities in identification of a bronchovascular fistula and hesitation in aggressive management to arrest the resultant continuous air entry into systemic circulation caused death as an aftermath. Related instances in literature have been reviewed and appropriate managements are herein discussed.
Lin Lee; Su-Man Lin; Yuh-Huey Chao; Chi-Chun Chu
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta anaesthesiologica Taiwanica : official journal of the Taiwan Society of Anesthesiologists     Volume:  45     ISSN:  1875-4597     ISO Abbreviation:  -     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-04-11     Completed Date:  2007-05-01     Revised Date:  2008-04-07    
Medline Journal Info:
Nlm Unique ID:  101214918     Medline TA:  Acta Anaesthesiol Taiwan     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  33-7     Citation Subset:  IM    
Department of Anesthesiology, Taipei Veterans General Hospital and School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC.
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MeSH Terms
Aged, 80 and over
Cardiopulmonary Bypass / adverse effects*
Echocardiography, Transesophageal
Embolism, Air / etiology*
Hemorrhage / etiology*
Lung Diseases / etiology*

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