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Case Reports
. 2003 Apr;96(4):962-964.
doi: 10.1213/01.ANE.0000048827.03602.3F.

Transesophageal echocardiographic diagnosis of carbon dioxide embolism during minimally invasive saphenous vein harvesting and treatment with inhaled epoprostenol

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Case Reports

Transesophageal echocardiographic diagnosis of carbon dioxide embolism during minimally invasive saphenous vein harvesting and treatment with inhaled epoprostenol

André Martineau et al. Anesth Analg. 2003 Apr.

Abstract

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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References

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    1. Allen KB, Griffith GL, Heimansohn DA, et al. Endoscopic versus traditional saphenous vein harvesting: a prospective, randomized trial. Ann Thorac Surg 1998; 66: 26–31.
    1. Davis Z, Jacobs HK, Zhang M, et al. Endoscopic vein harvest for coronary artery bypass grafting: technique and outcomes. J Thorac Cardiovasc Surg 1998; 116: 228–35.
    1. Chavanon O, Tremblay I, Delay D, et al. Carbon dioxide embolism during endoscopic saphenectomy for coronary artery bypass surgery. J Thorac Cardiovasc Surg 1999; 118: 557–8.
    1. Banks TA, Manetta F, Glick M, Graver LM. Carbon dioxide embolism during minimally invasive vein harvesting. Ann Thorac Surg 2002; 73: 296–7.

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