Document Detail

Successful management of air embolism-induced ventricular fibrillation in orthotopic liver transplantation.
MedLine Citation:
PMID:  16450600     Owner:  NLM     Status:  MEDLINE    
Ventricular fibrillation (VF) although less common during noncardiac surgery often brings about severe complication as an aftermath. We report a case of VF which was highly suspected to be induced by air embolism at the moment when the surgeon was dissecting the collateral vessels of portal vein in liver transplantation surgery. The outcome of this patient was excellent due to aggressive resuscitative measures including open-chest cardiac massage. Transesophageal echocardiogram (TEE) was not applied in this patient in fear of increased risk of esophageal varicose bleeding in a liver cirrhotic patient. However, some reports described the use of TEE in cirrhotic patients without obvious complications. In this case, venous air embolism (VAE) happened during the dissection of collateral vessels of the portal vein, which to our knowledge was ever been reported in liver transplantation surgery. The related literature has been reviewed and the success of the resuscitation is also herein discussed.
Pei-An Yeh; Han-Ping Chen; Yu-Chuan Tsai; Yih-Jyh Lin; Yen-Chin Liu
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta anaesthesiologica Taiwanica : official journal of the Taiwan Society of Anesthesiologists     Volume:  43     ISSN:  1875-4597     ISO Abbreviation:  -     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2006-02-02     Completed Date:  2006-03-02     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:  243-6     Citation Subset:  IM    
Department of Anesthesiology, National Cheng Kung University Medical College, Tainan, Taiwan, ROC.
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MeSH Terms
Echocardiography, Transesophageal
Embolism, Air / complications*
Liver Transplantation / adverse effects*
Middle Aged
Ventricular Fibrillation / therapy*

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