• Critical care medicine · Apr 2000

    Review Case Reports

    Favorable outcome in a large left heart air embolism: lessons from an unusual complication of a noninvasive chest scan.

    • F Schneider, P Lutun, G Zollner, J Gaudias, L Pinto, and J D Tempé.
    • Service de Réanimation Médicale, Hôpital de Hautepierre, Hôpitaux Universitaires de Strasbourg, France. Francis.Schneider@chru-strasbourg.fr
    • Crit. Care Med. 2000 Apr 1;28(4):1217-9.

    ObjectiveTo report an unusual life-threatening complication of the performance of a computed tomographic (CT) scan of the chest.DesignCase report.SettingUniversity hospital.PatientAn intubated patient with blunt thoracic trauma.InterventionPerformance of a CT scan of the chest at full inspiration.Main ResultWith air insufflation, a large left ventricular air embolism occurred as a consequence of an airway breach, revealed by the simultaneous existence of a mild bilateral anterior pneumothorax.ConclusionCT scan of the chest in patients at risk of airway breach (patients with acute respiratory distress syndrome, trauma patients) should first be performed at full expiration, not full inspiration.

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