Transesophageal echocardiographic diagnosis of carbon dioxide embolism during minimally invasive saphenous vein harvesting and treatment with inhaled epoprostenol.
We describe a patient scheduled for coronary artery bypass who developed carbon dioxide (CO2) embolism with acute pulmonary hypertension during endoscopic saphenectomy. Transesophageal echocardiography was useful in the diagnosis of CO2 embolism and to assess response to inhaled epoprostenol.
Martineau
André
A
Departments of *Anesthesiology and †Surgery, Montreal Heart Institute, Quebec, Canada.
Arcand
Geneviève
G
Couture
Pierre
P
Babin
Denis
D
Perreault
Louis P
LP
Denault
André
A
D000368:Aged; D000758:Anesthesia; D001794:Blood Pressure / Q000502:physiology; D019296:Capnography; D002245:Carbon Dioxide / Q000097:blood / Q000378:metabolism*; D001026:Coronary Artery Bypass; D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D004618:Embolism, Air / Q000000981:diagnostic imaging* / Q000503:physiopathology; D011464:Epoprostenol / Q000009:adverse effects* / Q000627:therapeutic use; D006801:Humans; D007431:Intraoperative Complications / Q000000981:diagnostic imaging*; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D010975:Platelet Aggregation Inhibitors / Q000009:adverse effects* / Q000627:therapeutic use; D012501:Saphenous Vein / Q000601:surgery* / Q000637:transplantation*
D010975:Platelet Aggregation Inhibitors; D002245:Carbon Dioxide; D011464:Epoprostenol