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Anesth Analg 2003;96:962-964
© 2003 International Anesthesia Research Society

CARDIOVASCULAR ANESTHESIA

Transesophageal Echocardiographic Diagnosis of Carbon Dioxide Embolism During Minimally Invasive Saphenous Vein Harvesting and Treatment with Inhaled Epoprostenol

André Martineau, MD FRCPC*, Geneviève Arcand, MD*, Pierre Couture, MD FRCPC*, Denis Babin, MS*, Louis P. Perreault, MD PhD, FRCSC{dagger}, and André Denault, MD FRCPC*

Departments of *Anesthesiology and {dagger}Surgery, Montreal Heart Institute, Quebec, Canada

Address correspondence and reprint requests to André Denault, MD, FRCPC, Montreal Heart Institute, Department of Anesthesiology, 5000 Belanger St. East, Montreal, Quebec, H1T 1C8, Canada. Address e-mail to denault{at}videotron.ca

IMPLICATIONS: We describe a patient scheduled for coronary artery bypass who developed carbon dioxide (CO2) embolism with acute pulmonary hypertension during endoscopic saphenectomy. Transesophageal echocardiography was useful in the diagnosis of CO2 embolism and to assess response to inhaled epoprostenol.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2003 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2003 by the International Anesthesia Research Society.