A life-saving procedure for treatment of massive pulmonary air embolism.
We present an unusual case of massive pulmonary air embolism during permanent pacemaker implantation. Head down position, precordial thumb and cardiac massage must be done immediately after the diagnosis of this life threatening condition. If these maneuvers are not successful, air suctioning with a large-lumen guiding catheter may be effective and life saving.
Ostovan
Mohamad Ali
MA
Cardiology Department, Shiraz University of Medical Sciences, Shiraz, Iran.
Aslani
Amir
A
D000368:Aged; D006348:Cardiac Surgical Procedures / Q000009:adverse effects; D004618:Embolism, Air / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D005260:Female; D005471:Fluoroscopy; D006336:Heart Massage; D006801:Humans; D007431:Intraoperative Complications; D008405:Massage; D010138:Pacemaker, Artificial; D011187:Posture; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D013396:Suction; D013933:Thumb; D016896:Treatment Outcome