Air embolism caused by blower mister during off-pump coronary artery bypass surgery: is it preventable?

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Massive systemic air embolism during off-pump coronary artery surgery.

In OPCAB (off-pump coronary artery bypass) operations, development of cardiac arrest during the distal anastomosis to obtuse marginal coronary artery leads to significantly low blood pressure in the ascending aorta. Therefore, blowing of compressed air in high flow on not-slinged coronary artery may cause air mobilization from the coronary artery system into the ascending aorta that may result ...

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There have been several reports of gas embolism occurring during off-pump coronary artery bypass graft (OPCAB) surgery. However, all these cases of air embolism were associated with the repair of venous circulation, using a CO(2) blower. In this report, we describe a rare case of air embolism in the coronary arteries associated with the use of a CO(2) blower during OPCAB. There was no injury to...

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Off-Pump Versus On-Pump Coronary Artery Bypass Graft Surgery, prospective cohort study

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ژورنال

عنوان ژورنال: European Journal of Cardio-Thoracic Surgery

سال: 2010

ISSN: 1010-7940

DOI: 10.1016/j.ejcts.2009.10.008