Case 2—2007 Systemic Air Embolization After Termination of Cardiopulmonary Bypass

Neema, Praveen Kumar; Pathak, Sameet; Varma, Praveen Kerala; Sethuraman, Manikandan; Rathod, Ramesh Chandra; Tempe, Deepak K; Tung, Avery

doi:10.1053/j.jvca.2006.09.012

Cited by 4 publications

(2 citation statements)

References 56 publications

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“…The complexity of the right atrial myxoma is the possibility of its destruction [9,10] during connection of a cardiopulmonary bypass machine [11][12][13][14][15]. Due to the high risk of embolic complications, we did beating-heart surgery with clamping of major vessels (aorta, pulmonary artery, and venae cavae).…”

Section: Discussionmentioning

confidence: 99%

Off-pump Surgical Removal of Right Atrial Myxoma Without Hypothermia

Shevchenko¹,

Borshchev²

2020

IJCTS

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Myxoma of the right atrium is a rare heart tumor. Atrial myxomas are associated with a triad of complications, including obstruction, emboli, and constitutional symptoms (such as fever, weight loss). An interdisciplinary approach is very important to optimize the outcome in patients with atrial myxomas. When myxoma present, it can rarely cause blood flow obstruction in the right cardiac chamber. 75% to 80% are located on the left side of the interatrial septum. Right-sided cardiac myxomas present surgeons a lot of technical difficult. We report a case of right atrial myxoma. A 75-year-old female with a large right atrial myxoma underwent surgical treatment in our Center. Due to the high risk of embolic complications associated with conventional connection of a cardiopulmonary bypass machine, we decided to preform beating-heart surgery with clamping of major vessels (aorta, pulmonary artery, and venae cavae). This technique is a method of avoiding embolization. The early postoperative period was uneventful. Two days postoperatively, the patient was transferred from the intensive care unit to hospital ward. Nine days postoperatively, she was discharged in satisfactory condition to continue her follow-up at a local outpatient department. The patient was followed up during the next 3 years and had no signs of relapse.

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Section: Discussionmentioning

confidence: 99%

Off-pump Surgical Removal of Right Atrial Myxoma Without Hypothermia

Shevchenko¹,

Borshchev²

2020

IJCTS

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“…The number of novel etiologies for gas embolism is large and constantly expanding as technological advances improve recognition and increase the incidence of the problem. Gas emboli in pediatric cardiac surgery have been previously observed during central venous cannulation [3, 4], during sternotomy [5], while opening the heart chambers during cardiopulmonary bypass [6], and due to disconnects in the extracorporeal circuit [6]. We describe an unusual presentation of gas embolism occurring in the immediate postoperative period in an infant with cyanotic congenital heart disease after palliative cardiac surgery resulting in cardiopulmonary arrest.…”

Section: Introductionmentioning

confidence: 99%

Venous Air Embolism Leading to Cardiac Arrest in an Infant with Cyanotic Congenital Heart Disease

Watkins

McCarver

VanBebber

et al. 2012

Case Reports in Anesthesiology

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Gas emboli, including venous and arterial, are a rare but important complication of pediatric cardiac surgery. They have the potential to have devastating consequences and require prompt recognition and treatment. We present a case of gas embolism occurring in the immediate postoperative period in an infant with cyanotic congenital heart disease after palliative cardiac surgery resulting in cardiopulmonary arrest. The embolism was diagnosed by visualization of air within the vessel creating an airlock and occluding pulmonary blood flow.

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Unexpected Air in the Left Ventricle after Aortic Cannulation in Two Patients with Severe Aortic Insufficiency: Possible Mechanisms and Clinical Implications

Misra

Gadhinglajkar

2010

Journal of Cardiothoracic and Vascular Anesthesia

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Case 2—2007 Systemic Air Embolization After Termination of Cardiopulmonary Bypass

Cited by 4 publications

References 56 publications

Off-pump Surgical Removal of Right Atrial Myxoma Without Hypothermia

Off-pump Surgical Removal of Right Atrial Myxoma Without Hypothermia

Venous Air Embolism Leading to Cardiac Arrest in an Infant with Cyanotic Congenital Heart Disease

Unexpected Air in the Left Ventricle after Aortic Cannulation in Two Patients with Severe Aortic Insufficiency: Possible Mechanisms and Clinical Implications

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