Left 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 t...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2017-01-01
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| Series: | Respiratory Medicine Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213007117302514 |
| _version_ | 1818129022708613120 |
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| author | Juan M. Galvis David R. Nunley Teoh Zheyi Lu Anne V. Dinglasan |
| author_facet | Juan M. Galvis David R. Nunley Teoh Zheyi Lu Anne V. Dinglasan |
| author_sort | Juan M. Galvis |
| collection | DOAJ |
| description | 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 presented for an elective percutaneous lung biopsy of an incidentally found pulmonary nodule. The procedure was performed, following the completion of the procedure the patient experiment syncopal symptoms and was diagnosed by CT scan with Left ventricular air embolism, subsequently transferred to Intensive care unit for medical attention, she was placed on right lateral decubitus Trendelenburg for 24 hours and administer 100% oxygen via a nonrebreather mask. Repeat chest CT the following day revealed complete resolution of her intracardiac free air.
Conclusion: Although systemic arterial air embolism remains a rare complication of percutaneous lung biopsies, recognition prevents potential mortality which can develop due to neurological and cardiac complications. Close vigilance in the intensive care unit is recommended and hyperbaric chamber when appropriate. |
| first_indexed | 2024-12-11T07:42:32Z |
| format | Article |
| id | doaj.art-1bec587105914c77a00ec2dbda90185c |
| institution | Directory Open Access Journal |
| issn | 2213-0071 |
| language | English |
| last_indexed | 2024-12-11T07:42:32Z |
| publishDate | 2017-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Respiratory Medicine Case Reports |
| spelling | doaj.art-1bec587105914c77a00ec2dbda90185c2022-12-22T01:15:32ZengElsevierRespiratory Medicine Case Reports2213-00712017-01-0122C20620810.1016/j.rmcr.2017.08.007Left ventricle and systemic air embolism after percutaneous lung biopsyJuan M. Galvis0David R. Nunley1Teoh Zheyi2Lu Anne V. Dinglasan3Department of Pulmonary, Critical Care, and Sleep Disorders Medicine, University of Louisville School of Medicine, Louisville, KY, USADepartment of Pulmonary, Critical Care, and Sleep Disorders Medicine, University of Louisville School of Medicine, Louisville, KY, USAInternal Medicine and Pediatrics Department, University of Louisville School of Medicine, Louisville, KY, USADepartment of Radiology, University of Louisville School of Medicine, Louisville, KY, USABackground: 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 presented for an elective percutaneous lung biopsy of an incidentally found pulmonary nodule. The procedure was performed, following the completion of the procedure the patient experiment syncopal symptoms and was diagnosed by CT scan with Left ventricular air embolism, subsequently transferred to Intensive care unit for medical attention, she was placed on right lateral decubitus Trendelenburg for 24 hours and administer 100% oxygen via a nonrebreather mask. Repeat chest CT the following day revealed complete resolution of her intracardiac free air. Conclusion: Although systemic arterial air embolism remains a rare complication of percutaneous lung biopsies, recognition prevents potential mortality which can develop due to neurological and cardiac complications. Close vigilance in the intensive care unit is recommended and hyperbaric chamber when appropriate.http://www.sciencedirect.com/science/article/pii/S2213007117302514 |
| spellingShingle | Juan M. Galvis David R. Nunley Teoh Zheyi Lu Anne V. Dinglasan Left ventricle and systemic air embolism after percutaneous lung biopsy Respiratory Medicine Case Reports |
| title | Left ventricle and systemic air embolism after percutaneous lung biopsy |
| title_full | Left ventricle and systemic air embolism after percutaneous lung biopsy |
| title_fullStr | Left ventricle and systemic air embolism after percutaneous lung biopsy |
| title_full_unstemmed | Left ventricle and systemic air embolism after percutaneous lung biopsy |
| title_short | Left ventricle and systemic air embolism after percutaneous lung biopsy |
| title_sort | left ventricle and systemic air embolism after percutaneous lung biopsy |
| url | http://www.sciencedirect.com/science/article/pii/S2213007117302514 |
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