title: Systemic air embolism during preoperative pulmonary marking with a short hook wire and suture system under CT fluoroscopy guidance.
abstract: We encountered a case of systemic air embolism during preoperative pulmonary marking with a short hook wire and suture system under CT fluoroscopy guidance. The pulmonary tumor was present in the right S3, and the procedural position was supine. The patient experienced cardiac symptoms, and systemic air embolism was confirmed on CT images. With the patient in the Trendelenburg position, 100% oxygen was immediately administered as therapy for the embolism. Subsequently, the symptoms and systemic air embolism were resolved. The patient underwent video-assisted thoracoscopic wedge resection after 5 days and was then discharged without any sequelae.
authors: Department of Radiology, Fukuyama City Hospital, 5-23-1 Zao-cho, Fukuyama, 721-8511, Japan. iguchi@ba2.so-net.ne.jp
authors: Toshihiro
authors: T
authors: Iguchi
authors: Takashi
authors: T
authors: Yoshioka
authors: Masahiko
authors: M
authors: Muro
authors: Kohji
authors: K
authors: Miyasho
authors: Daisaku
authors: D
authors: Inoue
authors: Takao
authors: T
authors: Hiraki
authors: Susumu
authors: S
authors: Kanazawa
mesh_terms: D006528:Carcinoma, Hepatocellular / Q000473:pathology*; D002637:Chest Pain / Q000209:etiology; D004618:Embolism, Air / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D005471:Fluoroscopy / Q000379:methods; D018475:Head-Down Tilt; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology*; D008168:Lung / Q000000981:diagnostic imaging* / Q000601:surgery; D008175:Lung Neoplasms / Q000000981:diagnostic imaging* / Q000556:secondary / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010102:Oxygen Inhalation Therapy / Q000379:methods; D011300:Preoperative Care / Q000009:adverse effects* / Q000379:methods; D015641:Radiography, Interventional / Q000379:methods; D013536:Suture Techniques / Q000009:adverse effects; D020775:Thoracic Surgery, Video-Assisted; D014057:Tomography, X-Ray Computed / Q000379:methods*