We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
The Auscultation of a Carbon Dioxide Embolization Event during Endoscopic Vein Harvest.
- Authors
Strauss, Erik; Taylor, Bradley; Mazzeffi, Michael; Tanaka, Kenichi; Odonkor, Patrick
- Abstract
Endoscopic vein harvest in preparation for coronary artery bypass surgery has become a preferred method of procuring saphenous vein. Several case reports have documented carbon dioxide (CO2) embolization with this procedure as well as CO2 embolization during other laparoscopic surgeries (Markar et al., 2010). Although uncommon, the potential for CO2 entrainment through an open vein or through absorption by vascular structures exists and should be recognized (Lin et al., 2003). We report a case of CO2 embolization during EVH for a 77-year-old patient who underwent CABG that was identified early by the cardiac surgeon through the indirect auscultation of a mill-wheel murmur after the pericardium was opened. This may be the first reported case of a murmur related to air emboli identified without the use of a precordial Doppler probe or a stethoscope. This diagnosis was further supported by TEE before systemic hypotension or cardiovascular collapse occurred.
- Subjects
AUSCULTATION; ENDOSCOPIC surgery; CARBON dioxide; THERAPEUTIC embolization; SAPHENOUS vein; CORONARY artery bypass
- Publication
Case Reports in Anesthesiology, 2016, p1
- ISSN
2090-6382
- Publication type
Article
- DOI
10.1155/2016/6947679