Systemic air embolism causing acute stroke and myocardial infarction after percutaneous transthoracic lung biopsy—a case report
نویسندگان
چکیده
The air embolism in this case was likely to have been caused by positioning the patient in a prone position, which was associated with the lesion to be biopsied being at a maximum height over the left atrium. Due to the resulting negative pressure, air entered through a fistula that formed between the airspace and the pulmonary vein. The air could have been trapped in the left atrium by positioning the patient in left lateral position. The event itself could have been prevented by positioning the patient in an ipsilateral dependent position during the biopsy. In addition to hyperbaric oxygen therapy, the preferred treatment options are positioning maneuvers, administration of pure oxygen, and heparinization.
منابع مشابه
Systemic air embolism causing acute stroke and myocardial infarction after percutaneous transthoracic lung biopsy – a case report
The air embolism in this case was likely to have been caused by positioning the patient in a prone position, which was associated with the lesion to be biopsied being at a maximum height over the left atrium. Due to the resulting negative pressure, air entered through a fistula that formed between the airspace and the pulmonary vein. The air could have been trapped in the left atrium by positio...
متن کاملAsymptomatic air-embolism following percutaneous radiofrequency ablation of lung tumor: Rare or underestimated complication?
Air embolism is an insidious but potentially life-threatening complication very rarely occurring after radio-frequency ablation (RFA). Its incidence has been reported to be 0.02% to 0.07% after trans-thoracic cutting needle biopsy (TTNB) of lung lesions. Clinical impact is devastating in most cases, with a high rate of death and catastrophic sequelae (myocardial infarction, stroke). Prompt reco...
متن کاملDelayed presentation of cerebellar and spinal cord infarction as a complication of computed tomography-guided transthoracic lung biopsy: a case report
INTRODUCTION Computed tomography-guided transthoracic needle biopsy is a common diagnostic procedure that is associated with various complications including pneumothorax, parenchymal hemorrhage, and hemoptysis. A systemic air embolism is a very rare (0.06 to 0.21%) but potentially fatal complication. CASE PRESENTATION A 70-year-old Korean male was admitted to our hospital for evaluation of a ...
متن کاملLeft ventricle and systemic air embolism after percutaneous lung biopsy
BACKGROUND Systemic arterial air embolism following a percutaneous transthoracic lung biopsy is a rare but known complication, with current literature reporting an incidence of 0.01-0.45%. A prompt diagnosis of arterial air embolism is important as complications resulting from migration of air to the systemic circulation with correspondent complications. CASE REPORT A 60-year-old female who p...
متن کاملLife-threatening complication of percutaneous transthoracic fine-needle aspiration biopsy: systemic arterial air embolism.
Computed tomography-guided percutaneous transthoracic fine-needle aspiration biopsy of lung lesions is a well known diagnostic technique. Nevertheless, it has some complications; such as pneumothorax, intraparenchymal hemorrhage and hemoptysis, which are not rare. Air embolism is one of the rare but potentially fetal complications of this procedure. Herein, we report the case of a 69-year-old m...
متن کامل