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Anesth Analg 2003;96:683-685
© 2003 International Anesthesia Research Society

CARDIOVASCULAR ANESTHESIA

Carbon Dioxide Embolism Diagnosed by Transesophageal Echocardiography During Endoscopic Vein Harvesting for Coronary Artery Bypass Grafting

Su-Man Lin, MD, Wen-Kuei Chang, MD, Cheng-Ming Tsao, MD, Ching-Huei Ou, MD, Kwok-Hon Chan, MD, and Shen-Kou Tsai, MD

Department of Anesthesiology, Taipei-Veterans General Hospital, National Yang-Ming University and National Taiwan University, China

Address correspondence and reprint requests to Shen-kou Tsai, MD, PhD, Department of Anesthesiology, Taipei-Veterans General Hospital, National Taiwan University and Yang-Ming University, 210, Sec 2, Shih-pai Rd., Taipei, Taiwan 11217, China. Address e-mail to sktsai{at}vghtpe.gov.tw

IMPLICATIONS: We describe a case of massive carbon dioxide embolism with an abrupt decrease in arterial blood pressure and continuous mixed venous oxygen saturation during endoscopic vein harvesting that was immediately diagnosed by intraoperative transesophageal echocardiography.




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K.-M. Chiu, T.-Y. Lin, M.-J. Wang, and S.-H. Chu
Reduction of carbon dioxide embolism for endoscopic saphenous vein harvesting.
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T.-Y. Lin, K.-M. Chiu, M.-J. Wang, and S.-H. Chu
Carbon dioxide embolism during endoscopic saphenous vein harvesting in coronary artery bypass surgery
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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2003 by the International Anesthesia Research Society.