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Systemic air embolism causing acute stroke and myocardial infarction after percutaneous transthoracic lung biopsy – a case report

Overview of attention for article published in Journal of Cardiothoracic Surgery, May 2016
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Title
Systemic air embolism causing acute stroke and myocardial infarction after percutaneous transthoracic lung biopsy – a case report
Published in
Journal of Cardiothoracic Surgery, May 2016
DOI 10.1186/s13019-016-0478-z
Pubmed ID
Authors

Rafael Rehwald, Alexander Loizides, Franz J. Wiedermann, Astrid E. Grams, Tanja Djurdjevic, Bernhard Glodny

Abstract

The air embolism in this case was likely to have been caused by positioning the patient in a prone position, which was associated with the lesion to be biopsied being at a maximum height over the left atrium. Due to the resulting negative pressure, air entered through a fistula that formed between the airspace and the pulmonary vein. The air could have been trapped in the left atrium by positioning the patient in left lateral position. The event itself could have been prevented by positioning the patient in an ipsilateral dependent position during the biopsy. In addition to hyperbaric oxygen therapy, the preferred treatment options are positioning maneuvers, administration of pure oxygen, and heparinization.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 21 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 21 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 3 14%
Researcher 3 14%
Other 2 10%
Student > Doctoral Student 2 10%
Librarian 2 10%
Other 5 24%
Unknown 4 19%
Readers by discipline Count As %
Medicine and Dentistry 10 48%
Neuroscience 2 10%
Computer Science 1 5%
Social Sciences 1 5%
Unknown 7 33%