Pulmonary oedema following venous air embolism during transsphenoidal pituitary surgery.
case_report · Level V
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Abstract
Venous air embolism (VAE) is a well known complication in procedures where the operative field is above the level of the heart. Acute pulmonary oedema after a large air embolus occurring during neurosurgery is also a recognized phenomenon. However, pulmonary oedema following repeated episodes of VAE in sublabial transsphenoidal (SLTS) surgery for pituitary adenoma has never been reported. We describe a case of VAE in a 65 year old male undergoing SLTS surgery for pituitary adenoma. Following this, the patient had pulmonary oedema which resolved on supportive treatment. Pulmonary oedema as a result of VAE may go unrecognised intraoperatively but can lead to a significant postoperative morbidity. Early suspicion and recognition of VAE and institution of aggressive treatment will help to avoid fatal consequences.
Medical subject headings
- Adenoma
- Embolism, Air
- Pituitary Neoplasms
- Postoperative Complications
- Pulmonary Edema