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J. Thorac. Cardiovasc. Surg. · May 1975
Case ReportsFatal air embolism during thoracotomy for gunshot injury to the lung. Report of a case.
- A T Donato, E Arciniegas, and C R Lam.
- J. Thorac. Cardiovasc. Surg. 1975 May 1;69(5):827-9.
AbstractFatal coronary air embolism occurred during thoracotomy in a patient with a gunshot wound involving the hilum of the right lung. Embolism was observed during a second period of failure of heart action. Evidently, air entered the pulmonary veins from the bronchus, which was receiving positive-pressure ventilation. The literature contains reports of only 3 similar cases, but we suspect that air embolism may be responsible for death and morbidity in additional cases in which accidental or iatrogenic lung trauma has produced a pathway between the bronchial tree and the pulmonary veins.
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