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Echocardiographic characteristics of venous air embolism presenting as reversible pulmonary atresia in a premature neonate

Published online by Cambridge University Press:  20 January 2005

Abhay Divekar ,
Rebecca Cases  and
Reeni Soni
Abhay Divekar
Affiliation:
Section of Pediatric Cardiology, Variety Children's Heart Center, Children's Hospital, Winnipeg, Manitoba, Canada
Rebecca Cases
Affiliation:
Section of Neonatology, WR 004, Health Sciences Center, Winnipeg, Manitoba, Canada
Reeni Soni
Affiliation:
Section of Pediatric Cardiology, Variety Children's Heart Center, Children's Hospital, Winnipeg, Manitoba, Canada
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Abstract

Air embolism secondary to mechanical ventilation is a rare but well-described complication in premature infants. We describe the echocardiographic appearance of venous air embolism manifesting as acute obstruction of the right ventricular outflow tract in such a premature infant, and review the pathophysiology of acute obstruction of the right ventricular outflow tract secondary to the “air lock” phenomenon. Awareness of the pathophysiology and echocardiographic appearance of venous air embolism may aid in prompt recognition and potential therapy for this lethal complication of mechanical ventilation.

Keywords

Air embolismmechanical ventilationechocardiography
Type
Brief Report
Information
Cardiology in the Young , Volume 14 , Issue 1 , February 2004 , pp. 102 - 105
Copyright
© 2004 Cambridge University Press

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References

Durant TM, Long J, Oppenheimer MJ. Pulmonary (venous) air embolism. Am Heart J 1947; 33: 269–281.Google Scholar
Geissler HJ, Allen SJ, Mehlhorn U, Davis KL, Morris WP, Butler BD. Effect of body repositioning after venous air embolism. An echocardiographic study. Anesthesiology 1997; 86: 710–717.Google Scholar
Adornato DC, Gildenberg PL, Ferrario CM, Smart J, Frost EA. Pathophysiology of intravenous air embolism in dogs. Anesthesiology 1978; 49: 120–127.Google Scholar
Chandraratna A, Ashmeg A, Pasha HC. Detection of intracoronary air embolism by echocardiography. J Am Soc Echocardiogr 2002; 15: 1015–1017.Google Scholar
Lau KY, Lam PK. Systemic air embolism: a complication of ventilator therapy in hyaline membrane disease. Clin Radiol 1991; 43: 16–18.Google Scholar
Oppermann HC, Wille L, Obladen M, Richter E. Systemic air embolism in the respiratory distress syndrome of the newborn. Pediatr Radiol 1979; 8: 139–145.Google Scholar
Tan GH, Sussmane JB. Images in clinical medicine. Massive air embolism in a neonate with pulmonary hypoplasia. N Engl J Med 2002; 346: 751.Google Scholar
Weaver LK, Morris A. Venous and arterial gas embolism associated with positive pressure ventilation. Chest 1998; 113: 1132–1134.Google Scholar
Smallhorn JF, Izukawa T, Benson L, Freedom RM. Noninvasive recognition of functional pulmonary atresia by echocardiography. Am J Cardiol 1984; 54: 925–926.Google Scholar
Alvaran SB, Toung JK, Graff TE, Benson DW. Venous air embolism: comparative merits of external cardiac massage, intra-cardiac aspiration, and left lateral decubitus position. Anesth Analg 1978; 57: 166–170.Google Scholar