Background: An air embolus is a recognized but rare complication of a partial hepatectomy. The aim of this report was to describe the diagnosis and management of a large paradoxical air embolus during hepatic resection.
Methods: Case report.
Results: A single patient report of a massive paradoxical air embolus during an extended right hepatectomy is described. The diagnosis was confirmed by trans-oesophageal echo (video provided). After failed conservative management an emergency cardiopulmonary bypass was instituted with a successful outcome.
Conclusion: Surgeons and anaesthetists involved in hepatic surgery should be aware of signs, investigations and management of this life-threatening intra-operative complication.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3521917 | PMC |
| http://dx.doi.org/10.1111/j.1477-2574.2012.00550.x | DOI Listing |
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