Systemic air embolism during preoperative pulmonary marking with a short hook wire and suture system under CT fluoroscopy guidance.
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.
Iguchi
Toshihiro
T
Department of Radiology, Fukuyama City Hospital, 5-23-1 Zao-cho, Fukuyama, 721-8511, Japan. iguchi@ba2.so-net.ne.jp
Yoshioka
Takashi
T
Muro
Masahiko
M
Miyasho
Kohji
K
Inoue
Daisaku
D
Hiraki
Takao
T
Kanazawa
Susumu
S
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*