Transesophageal Echocardiography-Guided Aspiration of Venous Air Embolism During Liver Transplantation: A Case Report.
| Autor: | Poorsattar SP; From the Department of Anesthesiology and Perioperative Medicine, David Geffen School of Medicine, University of California, Los Angeles, California., Lin MY |
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| Jazyk: | angličtina |
| Zdroj: | A&A practice [A A Pract] 2021 Dec 13; Vol. 15 (12), pp. e01534. Date of Electronic Publication: 2021 Dec 13. |
| DOI: | 10.1213/XAA.0000000000001534 |
| Abstrakt: | Transesophageal echocardiography can be useful not only in diagnosing venous air embolism but also in guiding aspiration of air from the pulmonary artery. A 59-year-old man with a history of cirrhosis underwent combined kidney and liver transplantations. He developed acute hypotension after the native liver was removed due to a massive venous air embolism via a retained transjugular intrahepatic portosystemic shunt catheter. Transesophageal echocardiography revealed air in the pulmonary artery resulting in outflow obstruction. Under echocardiographic guidance, the pulmonary arterial catheter was withdrawn to the air pocket and aspirated, resulting in improved hemodynamics and successful completion of transplantations. Competing Interests: The authors declare no conflicts of interest. (Copyright © 2021 International Anesthesia Research Society.) |
| Databáze: | MEDLINE |
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