title: Massive gas embolism during pulmonary nodule hook wire localization.
abstract: The locaization of pulmonary nodules by the hook wire technique has allowed accurate resection of small and nonsuperficial pulmonary nodules by video-assisted thoracoscopic surgery. Hook wire localization has been shown efficacious and safe with principal complications limited to pneumothorax, wire dislocation, and localized intrapulmonary hemorrhage. We report a case of massive gas embolism complicating this procedure. The probable causative mechanisms and possible methods for avoidance are discussed.
authors.affiliation: Division of Thoracic Surgery, Hospital SARAH, Brasília, Distrito Federal, Brazil. thoran@bsb.sarah.br
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Horan
authors.forename: Petrúcia M
authors.initials: PM
authors.lastname: Pinheiro
authors.forename: Luis M
authors.initials: LM
authors.lastname: Araújo
authors.forename: Flávia F
authors.initials: FF
authors.lastname: Santiago
authors.forename: Monica R
authors.initials: MR
authors.lastname: Rodrigues
mesh_terms: D000328:Adult; D001859:Bone Neoplasms / Q000473:pathology / Q000601:surgery*; D001980:Bronchi / Q000293:injuries*; D004618:Embolism, Air / Q000209:etiology* / Q000601:surgery; D018212:Giant Cell Tumor of Bone / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology* / Q000601:surgery; D008168:Lung / Q000473:pathology; D008175:Lung Neoplasms / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D008297:Male; D020775:Thoracic Surgery, Video-Assisted / Q000295:instrumentation*; D013977:Tibia / Q000473:pathology / Q000601:surgery*