[Venous gas embolism from pleurovenous fistula].
ANNALES FRANCAISES D'ANESTHESIE ET DE REANIMATION 2007;
26:242-4. [PMID:
17276028 DOI:
10.1016/j.annfar.2006.10.001]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/02/2006] [Accepted: 10/04/2006] [Indexed: 05/13/2023]
Abstract
We report the case of an iatrogenic gas embolism related to a subclavian vein catheterization complicated by a preexisting partial pneumothorax. Catheterization was indicated because of a septic shock due to nosocomial pneumonia. Five days after the catheterization, the haemodynamics and gas exchanges of the patient worsened. A transthoracic echography showed gas embolism in the right heart related to a right partial pneumothorax. A leak between the pleura and the left subclavian vein was diagnosed. The insertion of a chest tube stopped the airflow, by suppressing the pneumothorax.
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