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Asian Cardiovasc Thorac Ann · Jan 2009
Case ReportsMassive cerebral air embolism after bronchoscopy and central line manipulation.
- Joerg Seeburger, Michael A Borger, Denis R Merk, Susanne Doll, Hartmuth B Bittner, and Friedrich W Mohr.
- Heart Center, Leipzig University, Struempelstrasse 39, 04289 Leipzig, Germany. j.seeburger@web.de
- Asian Cardiovasc Thorac Ann. 2009 Jan 1; 17 (1): 67-9.
AbstractA 50-year-old woman who underwent double-lung transplantation suffered a massive cerebral air embolism with severe neurological impairment and temporary hemodynamic deterioration after surveillance bronchoscopy and central line removal. We hypothesize that this was due to microscopic pulmonary parenchymal injury during bronchoscopy as well as air entrainment during removal of the central venous line, with subsequent transpulmonary passage into the cerebral vessels.
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