[Paradoxical air embolism resulted in acute myocardial infarction and massive ischemic brain injury in a patient operated on in a sitting position].

Autor: Anan'ev EP; Burdenko Neurosurgical Institute, Moscow, Russia., Polupan AA; Burdenko Neurosurgical Institute, Moscow, Russia., Savin IA; Burdenko Neurosurgical Institute, Moscow, Russia., Goryachev AS; Burdenko Neurosurgical Institute, Moscow, Russia., Troitskiy AP; Burdenko Neurosurgical Institute, Moscow, Russia., Kolokol'nikov AE; Burdenko Neurosurgical Institute, Moscow, Russia., Kulikovskiy VP; Burdenko Neurosurgical Institute, Moscow, Russia., Matskovskiy IV; Burdenko Neurosurgical Institute, Moscow, Russia., Abramov TA; Burdenko Neurosurgical Institute, Moscow, Russia., Podlepich VV; Burdenko Neurosurgical Institute, Moscow, Russia., Krylov KY; Burdenko Neurosurgical Institute, Moscow, Russia., Sychev AA; Burdenko Neurosurgical Institute, Moscow, Russia., Tabasaranskiy TF; Burdenko Neurosurgical Institute, Moscow, Russia., Pashin AA; Burdenko Neurosurgical Institute, Moscow, Russia., Lubnin AY; Burdenko Neurosurgical Institute, Moscow, Russia.
Jazyk: English; Russian
Zdroj: Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko [Zh Vopr Neirokhir Im N N Burdenko] 2016; Vol. 80 (2), pp. 84-92.
DOI: 10.17116/neiro201680284-92
Abstrakt: Paradoxical air embolism (PAE) is a rare life-threatening complication when air emboli enter arteries of the systemic circulation and cause their occlusion. Here, we describe a clinical case of PAE developed during neurosurgery in a patient in the sitting position. PAE led to injuries to the cerebral blood vessels, coronary arteries, and lungs, which caused death of the patient. An effective measure for preventing PAE is abandoning surgery in the sitting position in favor of surgery in the prone position.
Databáze: MEDLINE