• A & A case reports · Mar 2014

    Paradoxical air embolism to left anterior descending artery during induction of anesthesia in a patient with an atrial septal defect.

    • Dinesh Kumar, Shrinivas Vitthal Gadhinglajkar, Krishna Moorthy, and Dhiraj Bhandari.
    • From the Departments of *Cardiac Thoracic & Vascular Anesthesia, and †Cardiology, Sri Chitra Tirunal Institute of Medical Science & Technology, Trivandrum, Kerala, India.
    • A A Case Rep. 2014 Mar 15;2(6):66-9.

    AbstractSystemic air embolism is a complication after IV injection of air bubbles adhering to IV tubing, 3-way injection ports, and residual air in drug-filled syringes. Paradoxical air embolism across an intracardiac septal defect is a well-known complication, but paradoxical air embolism to the left coronary artery is a rare condition. We report the case of a 50-year-old woman scheduled for elective device closure of an atrial septal defect in whom coronary air embolism to the left anterior descending artery occurred after anesthetic induction.

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