title: Carbon dioxide embolism during endoscopic vein harvesting.
abstract: 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.
authors.affiliation: Prince Sultan Cardiac Center, Riyadh, Kingdom of Saudi Arabia. mttamim@yahoo.com
authors.forename: Muhammed
authors.initials: M
authors.lastname: Tamim
authors.forename: Maher
authors.initials: M
authors.lastname: Omrani
authors.forename: Adel
authors.initials: A
authors.lastname: Tash
authors.forename: Ahmed
authors.initials: A
authors.lastname: El Watidy
mesh_terms: 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
chemical_list: D002245:Carbon Dioxide