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Michael A Borger
Denis R Merk
Hartmuth B Bittner
Friedrich W Mohr
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CASE STUDIES

Massive Cerebral Air Embolism after Bronchoscopy and Central Line Manipulation

Joerg Seeburger, MD, Michael A Borger, MD, Denis R Merk, MD, Susanne Doll, MD, Hartmuth B Bittner, MD, Friedrich W Mohr, MD

Heart Center, Leipzig University, Leipzig, Germany

Joerg Seeburger, MD, Tel: + 49 341 865 1421, Fax: + 49 341 865 1452, Email: j.seeburger{at}web.de, Heart Center, Leipzig University, Struempelstrasse 39, 04289 Leipzig, Germany.

A 50-year-old woman who underwent double-lung transplantation suffered a massive cerebral air embolism with severe neurological impairment and temporary hemodynamic deterioration after surveillance bronchoscopy and central line removal. We hypothesize that this was due to microscopic pulmonary parenchymal injury during bronchoscopy as well as air entrainment during removal of the central venous line, with subsequent transpulmonary passage into the cerebral vessels.

Key Words: Brain Infarction • Brain Injury • Chronic • Bronchoscopy • Embolism • Air

Asian Cardiovasc Thorac Ann 2009; 17:67-69
© 2009 by SAGE Publications
DOI: 10.1177/0218492309102501


This article has been cited by other articles:


Home page
 Asian Cardiovasc. Thorac. Ann.Home page
C. J Schlimp and W. Lederer
Cerebral Air Embolism, the Potential of Arterial and Venous Ascent
Asian Cardiovasc Thorac Ann, October 1, 2009; 17(5): 541 - 541.
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