Carbon dioxide embolism during minimally invasive vein harvesting.
case_report · Level V
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- Record sourced from PubMed, PMID 11834033.
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Abstract
Gas embolism is a known complication of minimal access procedures in which carbon dioxide insufflation is used. We report a case of significant venous and right heart gas embolization, which occurred during performance of routine minimally invasive vein harvesting. This was manifest by hemodynamic deterioration secondary to transmission by a patent foramen ovale into the left heart and coronary circulation. Techniques to predict, diagnose, and prevent this rare but potentially fatal complication of minimally invasive vein harvesting are suggested.
Medical subject headings
- Embolism, Air
- Endoscopy
- Saphenous Vein
- Specimen Handling