Carbon dioxide embolism during endoscopic vein harvesting.
Endoscopic vein harvesting (EVH) is becoming common for the patients undergoing coronary artery bypass grafting. Using carbon dioxide insufflations during the vein harvest can produce rare but catastrophic CO(2) embolism. We report a case of massive right atrial CO(2) embolism due to femoral vein injury which occurred during the performance of a routine EVH procedure.
Tamim
Muhammed
M
Prince Sultan Cardiac Center, Riyadh, Kingdom of Saudi Arabia. mttamim@yahoo.com
Omrani
Maher
M
Tash
Adel
A
El Watidy
Ahmed
A
D000368:Aged; D002245:Carbon Dioxide / Q000009:adverse effects*; D001026:Coronary Artery Bypass; D017548:Echocardiography, Transesophageal; D004617:Embolism / Q000000981:diagnostic imaging / Q000209:etiology*; D004724:Endoscopy / Q000009:adverse effects*; D005268:Femoral Vein / Q000000981:diagnostic imaging / Q000293:injuries*; D006325:Heart Atria / Q000000981:diagnostic imaging; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D007327:Insufflation / Q000009:adverse effects*; D008297:Male; D012501:Saphenous Vein / Q000637:transplantation*; D020858:Tissue and Organ Harvesting / Q000009:adverse effects* / Q000379:methods; D016896:Treatment Outcome
D002245:Carbon Dioxide