• Ann Card Anaesth · Jul 2014

    Case Reports

    "Air embolism during fontan operation".

    • Madan Mohan Maddali, Eapen Thomas, and Mohd M Malik.
    • Department of Anaesthesia, Royal Hospital, Muscat, Oman.
    • Ann Card Anaesth. 2014 Jul 1; 17 (3): 229-31.

    AbstractIn patients with a right to left intracardiac shunt, air embolism results in an obligatory systemic embolization. Nonembolization of entrained air is described in a child with a single ventricle physiology who had earlier undergone bidirectional Glenn shunt construction and Damus-Kaye-Stansel anastomosis. The air entrainment was detected by intra-operative transesophageal echocardiography. The combined effect of a "diving bell" phenomenon and mild aortic valve regurgitation are suggested as the reasons for the confinement of air into the ventricle preventing catastrophic systemic embolization.

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