Massive Arterial Air Embolism Due to Rupture of Pulsatile Assist Device: Successful Treatment in the Hyperbaric Chamber
We present the case of a patient who had rupture of a pulsatile assist device (PAD) accompanied by massive air embolism, and the treatment that brought it to a successful outcome. After rupture of the skin of the PAD balloon, a massive amount of air was injected into the ascending aorta. The patient...
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Veröffentlicht in: | The Annals of thoracic surgery 1981-12, Vol.32 (6), p.604-608 |
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Sprache: | eng |
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Zusammenfassung: | We present the case of a patient who had rupture of a pulsatile assist device (PAD) accompanied by massive air embolism, and the treatment that brought it to a successful outcome. After rupture of the skin of the PAD balloon, a massive amount of air was injected into the ascending aorta. The patient was placed in Trendelenburg position and cooled in deep hypothermia with cardiopulmonary bypass. He was given 1 gm of methylprednisolone intravenously, and the aortic valve replacement and double vein bypass graft were performed.
After completion of the operation, the patient was partially rewarmed to 30°C central temperature and transported by ambulance to a hyperbaric chamber where he was compressed to 6 atmospheres absolute 9 hours after the accident with clinical signs of severe brain dysfunction. The patient recovered completely and was discharged from the hospital on the tenth postoperative day. |
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ISSN: | 0003-4975 1552-6259 |
DOI: | 10.1016/S0003-4975(10)61806-1 |