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Paradoxical carbon dioxide embolism during laparoscopic cholecystectomy as a cause of cardiac arrest and neurologic sequelae: a case report / 대한마취과학회지
Korean Journal of Anesthesiology ; : 425-428, 2014.
Article in English | WPRIM | ID: wpr-114077
ABSTRACT
An 81-year-old male patient was scheduled for a laparoscopic cholecystectomy due to acute cholecystitis. About 50 minutes into the operation, the arterial blood pressure suddenly decreased and ventricular fibrillation appeared on the electrocardiography. The patient received cardiopulmonary resuscitation and recovered a normal vital sign. We suspected a carbon dioxide embolism as the middle hepatic vein had been injured during the surgery. We performed a transesophageal echocardiography and were able to confirm the presence of multiple gas bubbles in all of the cardiac chambers. After the operation, the patient presented a stable hemodynamic state, but showed weaknesses in the left arm and leg. There were no acute lesions except for a chronic cerebral cortical atrophy and chronic microvascular encephalopathy on the postoperative brain-computed tomography, 3D angiography and magnetic resonance image. Fortunately, three days after the operation, the patient's hemiparesis had entirely subsided and he was discharged without any neurologic sequelae.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Paresis / Arm / Atrophy / Ventricular Fibrillation / Carbon Dioxide / Angiography / Cardiopulmonary Resuscitation / Cholecystectomy, Laparoscopic / Echocardiography, Transesophageal / Embolism, Paradoxical Limits: Aged / Aged80 / Humans / Male Language: English Journal: Korean Journal of Anesthesiology Year: 2014 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Paresis / Arm / Atrophy / Ventricular Fibrillation / Carbon Dioxide / Angiography / Cardiopulmonary Resuscitation / Cholecystectomy, Laparoscopic / Echocardiography, Transesophageal / Embolism, Paradoxical Limits: Aged / Aged80 / Humans / Male Language: English Journal: Korean Journal of Anesthesiology Year: 2014 Type: Article