AI Article Synopsis

  • A systemic air embolism during pulmonary radiofrequency ablation led to a series of severe complications, including myocardial infarction and stroke in the patient.
  • Thoracic CT revealed air presence in the heart and major blood vessels, while a cerebral CT showed an infarct in the brain.
  • The situation highlights the importance of skilled anesthesiologists in performing these advanced cancer treatments to prevent such critical events.

Article Abstract

We report the case of a systemic air embolism occurring during pulmonary radiofrequency ablation. At the end of the procedure, the patient experienced a sudden myocardial infarction, complicated by ventricular fibrillation, cardiac arrest, and cerebral infarction. Thoracic computed tomography showed an air-blood level inside the left atrium and ventricle, the aortic arch, and the coronary arteries. Cerebral computed tomography showed an infarct in the frontoparietal area. Myocardial infarction and stroke responded to resuscitation measures, including hyperbaric oxygenation. The occurrence of this life-threatening event confirms the need to train experienced anesthesiologists in these new invasive approaches to cancer treatment.

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Source
http://dx.doi.org/10.1213/ane.0b013e3181aad6d7DOI Listing

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