The Auscultation of a Carbon Dioxide Embolization Event during Endoscopic Vein Harvest
Endoscopic vein harvest in preparation for coronary artery bypass surgery has become a preferred method of procuring saphenous vein. Several case reports have documented carbon dioxide (CO2) embolization with this procedure as well as CO2 embolization during other laparoscopic surgeries (Markar et a...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2016/6947679 |
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| author | Erik Strauss Bradley Taylor Michael Mazzeffi Kenichi Tanaka Patrick Odonkor |
| author_facet | Erik Strauss Bradley Taylor Michael Mazzeffi Kenichi Tanaka Patrick Odonkor |
| author_sort | Erik Strauss |
| collection | DOAJ |
| description | Endoscopic vein harvest in preparation for coronary artery bypass surgery has become a preferred method of procuring saphenous vein. Several case reports have documented carbon dioxide (CO2) embolization with this procedure as well as CO2 embolization during other laparoscopic surgeries (Markar et al., 2010). Although uncommon, the potential for CO2 entrainment through an open vein or through absorption by vascular structures exists and should be recognized (Lin et al., 2003). We report a case of CO2 embolization during EVH for a 77-year-old patient who underwent CABG that was identified early by the cardiac surgeon through the indirect auscultation of a mill-wheel murmur after the pericardium was opened. This may be the first reported case of a murmur related to air emboli identified without the use of a precordial Doppler probe or a stethoscope. This diagnosis was further supported by TEE before systemic hypotension or cardiovascular collapse occurred. |
| format | Article |
| id | doaj-art-6977fdf76d404304979cf553336e449d |
| institution | Kabale University |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-6977fdf76d404304979cf553336e449d2025-02-03T01:11:33ZengWileyCase Reports in Anesthesiology2090-63822090-63902016-01-01201610.1155/2016/69476796947679The Auscultation of a Carbon Dioxide Embolization Event during Endoscopic Vein HarvestErik Strauss0Bradley Taylor1Michael Mazzeffi2Kenichi Tanaka3Patrick Odonkor4Department of Anesthesiology, University of Maryland School of Medicine, Baltimore, MD 21201, USADepartment of Surgery, University of Maryland School of Medicine, Baltimore, MD 21201, USADepartment of Anesthesiology, University of Maryland School of Medicine, Baltimore, MD 21201, USADepartment of Anesthesiology, University of Maryland School of Medicine, Baltimore, MD 21201, USADepartment of Anesthesiology, University of Maryland School of Medicine, Baltimore, MD 21201, USAEndoscopic vein harvest in preparation for coronary artery bypass surgery has become a preferred method of procuring saphenous vein. Several case reports have documented carbon dioxide (CO2) embolization with this procedure as well as CO2 embolization during other laparoscopic surgeries (Markar et al., 2010). Although uncommon, the potential for CO2 entrainment through an open vein or through absorption by vascular structures exists and should be recognized (Lin et al., 2003). We report a case of CO2 embolization during EVH for a 77-year-old patient who underwent CABG that was identified early by the cardiac surgeon through the indirect auscultation of a mill-wheel murmur after the pericardium was opened. This may be the first reported case of a murmur related to air emboli identified without the use of a precordial Doppler probe or a stethoscope. This diagnosis was further supported by TEE before systemic hypotension or cardiovascular collapse occurred.http://dx.doi.org/10.1155/2016/6947679 |
| spellingShingle | Erik Strauss Bradley Taylor Michael Mazzeffi Kenichi Tanaka Patrick Odonkor The Auscultation of a Carbon Dioxide Embolization Event during Endoscopic Vein Harvest Case Reports in Anesthesiology |
| title | The Auscultation of a Carbon Dioxide Embolization Event during Endoscopic Vein Harvest |
| title_full | The Auscultation of a Carbon Dioxide Embolization Event during Endoscopic Vein Harvest |
| title_fullStr | The Auscultation of a Carbon Dioxide Embolization Event during Endoscopic Vein Harvest |
| title_full_unstemmed | The Auscultation of a Carbon Dioxide Embolization Event during Endoscopic Vein Harvest |
| title_short | The Auscultation of a Carbon Dioxide Embolization Event during Endoscopic Vein Harvest |
| title_sort | auscultation of a carbon dioxide embolization event during endoscopic vein harvest |
| url | http://dx.doi.org/10.1155/2016/6947679 |
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