Fatal left atrial air embolism as a complication of percutaneous transthoracic lung biopsy : A case report
©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved..
BACKGROUND: Computed tomography (CT)-guided percutaneous lung biopsy is a common protocol in the context of diagnostic thoracic oncology, but entails a risk of complications including systematic air embolism (SAE). While SAE is often well tolerated, it can be difficult to treat and may result in rapid mortality in some cases.
CASE SUMMARY: We report a rare case of left atrial SAE in a 71-year-old woman who underwent a CT-guided lung biopsy of a pulmonary nodule in the posterior basal segment of the right lower lobe. Shortly following needle extraction, she experienced a mild cough, hemoptysis, rapid-onset unconsciousness, and cardiopulmonary arrest. Cardiopulmonary resuscitation was immediately performed, but the patient died 40 min after the procedure. A closer review of collected CT scans revealed the presence of a large volume of air within the left atrium.
CONCLUSION: Although SAE is generally well tolerated and asymptomatic, interventional radiologists must be aware of the risk of fatal outcomes and establish appropriate emergency management protocols. In this report, the characteristics, mechanisms, and treatment recommendations associated with SAE are discussed in an effort to improve the survival of affected patients.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:10 |
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| Enthalten in: |
World journal of clinical cases - 10(2022), 16 vom: 06. Juni, Seite 5456-5462 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Li, Yi-Wei [VerfasserIn] |
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| Links: |
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| Themen: |
Bronchovenous fistula |
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| Anmerkungen: |
Date Revised 16.07.2022 published: Print Citation Status PubMed-not-MEDLINE |
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| doi: |
10.12998/wjcc.v10.i16.5456 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM343331519 |
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| 245 | 1 | 0 | |a Fatal left atrial air embolism as a complication of percutaneous transthoracic lung biopsy |b A case report |
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| 500 | |a Date Revised 16.07.2022 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved. | ||
| 520 | |a BACKGROUND: Computed tomography (CT)-guided percutaneous lung biopsy is a common protocol in the context of diagnostic thoracic oncology, but entails a risk of complications including systematic air embolism (SAE). While SAE is often well tolerated, it can be difficult to treat and may result in rapid mortality in some cases | ||
| 520 | |a CASE SUMMARY: We report a rare case of left atrial SAE in a 71-year-old woman who underwent a CT-guided lung biopsy of a pulmonary nodule in the posterior basal segment of the right lower lobe. Shortly following needle extraction, she experienced a mild cough, hemoptysis, rapid-onset unconsciousness, and cardiopulmonary arrest. Cardiopulmonary resuscitation was immediately performed, but the patient died 40 min after the procedure. A closer review of collected CT scans revealed the presence of a large volume of air within the left atrium | ||
| 520 | |a CONCLUSION: Although SAE is generally well tolerated and asymptomatic, interventional radiologists must be aware of the risk of fatal outcomes and establish appropriate emergency management protocols. In this report, the characteristics, mechanisms, and treatment recommendations associated with SAE are discussed in an effort to improve the survival of affected patients | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a Bronchovenous fistula | |
| 650 | 4 | |a Case report | |
| 650 | 4 | |a Computed tomography-guided lung biopsy | |
| 650 | 4 | |a Emergency intervention | |
| 650 | 4 | |a Risk-factors | |
| 650 | 4 | |a Systematic air embolism | |
| 700 | 1 | |a Chen, Can |e verfasserin |4 aut | |
| 700 | 1 | |a Xu, Ying |e verfasserin |4 aut | |
| 700 | 1 | |a Weng, Qian-Ping |e verfasserin |4 aut | |
| 700 | 1 | |a Qian, Shen-Xian |e verfasserin |4 aut | |
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