CO2 embolism during minimally invasive vein harvesting | Zendy

Evgenij Potapov | Zendy; Semih Buz | Zendy; Roland Hetzer | Zendy

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CO2 embolism during minimally invasive vein harvesting

Author(s) -

Evgenij Potapov,

Semih Buz,

Roland Hetzer

Publication year - 2007

Publication title -

european journal of cardio-thoracic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.303

H-Index - 133

eISSN - 1873-734X

pISSN - 1010-7940

DOI - 10.1016/j.ejcts.2007.01.054

Subject(s) - medicine , insufflation , complication , cardiopulmonary bypass , air embolism , embolism , pulmonary embolism , vein , surgery , cardiology

CO(2) embolism is a known, though rare, complication of procedures using CO(2) insufflation. We report massive cardiac right atrial CO(2) embolism during minimally invasive harvesting of a varicose great saphenous vein. The patient's hemodynamics deteriorated significantly and needed to be stabilized by emergency institution of cardiopulmonary bypass. Causes of this rare but potentially lethal complication are discussed, as well as its prediction, diagnosis, and prevention.

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