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Complications of CO 2 insufflation during endoscopic vein harvesting
Author(s) -
SuarezPierre Alejandro,
Terasaki Yusuke,
Magruder J. Trent,
Kapoor Anubhav,
Grant Michael C.,
Lawton Jennifer S.
Publication year - 2017
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.13249
Subject(s) - medicine , insufflation , cosmesis , vein , surgery , bypass grafting , pneumoperitoneum , artery , anesthesia , laparoscopy
Over the past few decades, the use of endoscopic harvest of the saphenous vein has gained popularity due to a significant reduction in rates of wound infection and improved cosmesis. The widespread adoption of this technique has introduced a set of complications associated with the use CO 2 insufflation which facilitates exposure during the vein harvest. We describe a case of pneumoperitoneum with systemic acidosis and subcutaneous air following endoscopic vein harvest for coronary artery bypass grafting and review the complications that may arise from CO 2 insufflation during endoscopic vein harvesting.