Iatrogenic Paradoxical Air Embolism in Pulmonary Hypertension
| Autor: | Terri Casey-Cato, Wendi R. Mason, Barry W. Holcomb, Ivan M. Robbins, Benjamin F. Byrd, James E. Loyd, Terry T. Wilsdorf |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine animal structures business.industry Hypertension Pulmonary Iatrogenic Disease Middle Aged Critical Care and Intensive Care Medicine medicine.disease Air embolism Pulmonary hypertension Intracardiac injection Catheter Paradoxical embolism Embolism Anesthesia medicine Patent foramen ovale Embolism Air Humans Female Cardiology and Cardiovascular Medicine business Complication |
| Zdroj: | Chest. 119:1602-1605 |
| ISSN: | 0012-3692 |
| DOI: | 10.1378/chest.119.5.1602 |
| Popis: | Paradoxical systemic air embolism (PAE) occurring as a complication of right-to-left intracardiac shunting during evaluation and treatment of pulmonary hypertension (PH) has not been previously reported. We report four cases of PH-associated PAE recently encountered at our center. Two patients with PH experienced transient neurologic deficits during agitated-saline contrast echocardiography (ASCE), and a patent foramen ovale was subsequently diagnosed in both patients. Two patients with Eisenmenger's syndrome (ES), while receiving epoprostenol via multilumen catheters, experienced transient neurologic deficits while flushing the unused port of the catheter. No patient experienced permanent neurologic deficits. We conclude that ASCE poses a risk for PAE in patients with PH and clinically silent, previously undetected, right-to-left intracardiac shunts, and that multilumen catheters used for long-term epoprostenol therapy in ES carry a risk of PAE. |
| Databáze: | OpenAIRE |
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