Document Detail

Simultaneous left ventricular and cerebral artery air embolism after computed tomographic-guided transthoracic needle biopsy of the lung.
MedLine Citation:
PMID:  21841875     Owner:  NLM     Status:  MEDLINE    
Air embolism is rare and potentially fatal. Its early recognition and prompt treatment can help to prevent life-threatening sequelae. Herein, we report the case of a 75-year-old man who underwent a computed tomographic-guided lung biopsy of a left-lower-lobe pulmonary nodule. A few minutes after the procedure, he experienced numbness and weakness in his right hand; this lasted for approximately 10 minutes and resolved on its own. Similar symptoms developed in his left hand and subsided in 5 minutes. His speech then became garbled. An urgent computed tomographic scan of the head showed no acute abnormality. Review of the chest computed tomographic scans that were performed during the biopsy revealed 10 cc of air in the left ventricular cavity. The patient was placed on 100% forced inspiratory oxygen and was kept in the Trendelenburg position on his left side. After 4 hours, computed tomography revealed that the air had been absorbed into the circulation. The patient had no residual neurologic deficits. In addition to reporting this case, we discuss possible causes of air embolism and the management of the condition after percutaneous lung biopsy.
Aniruddha Singh; Ajay Ramanakumar; Joseph Hannan
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  38     ISSN:  1526-6702     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  2011  
Date Detail:
Created Date:  2011-08-15     Completed Date:  2012-01-05     Revised Date:  2013-06-28    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  424-6     Citation Subset:  IM    
Department of Medicine, Saint Vincent Hospital, Worcester, MA 01608, USA.
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MeSH Terms
Biopsy, Needle / adverse effects*
Embolism, Air / diagnosis,  etiology*,  therapy
Head-Down Tilt
Heart Diseases / diagnosis,  etiology*,  therapy
Heart Ventricles
Hypesthesia / etiology
Intracranial Embolism / diagnosis,  etiology*,  therapy
Oxygen Inhalation Therapy
Patient Positioning
Solitary Pulmonary Nodule / pathology*
Speech Disorders / etiology
Tomography, X-Ray Computed*
Treatment Outcome

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

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