• Eur J Anaesthesiol · Feb 2012

    Case Reports

    Delayed recovery following laparoscopic partial hepatectomy.

    • Viola Van Gorp, Marc Diltoer, Georges Delvaux, and Christian Verborgh.
    • Department of Critical Care, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, Brussels, Belgium. viola.vangorp@hotmail.com
    • Eur J Anaesthesiol. 2012 Feb 1; 29 (2): 105-7.

    AbstractWe present a 42-year-old woman with unexpected coma after laparoscopic partial hepatectomy. MRI demonstrated ischaemic cerebral lesions. Further investigation revealed a patent foramen ovale. Cryptogenic stroke arising from a paradoxical carbon dioxide embolism was diagnosed. After 5 days of intensive care, she made a near complete recovery. Perioperative stroke, paradoxical emboli during surgery, patent foramen ovale, carbon dioxide cerebral embolism and therapeutic strategies are discussed.

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