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Case Reports
. 2008 Aug;101(2):230-3.
doi: 10.1093/bja/aen138. Epub 2008 Jun 3.

Paradoxical gas embolism by transpulmonary passage of venous emboli during hysteroscopic surgery: a case report and discussion

B M P Rademaker  1 , F A Groenman, P A van der Wouw, E A Bakkum
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Free article
Case Reports

Paradoxical gas embolism by transpulmonary passage of venous emboli during hysteroscopic surgery: a case report and discussion

B M P Rademaker et al. Br J Anaesth. 2008 Aug.
Free article

Abstract

After an episode of apparent venous gas embolism in a patient undergoing surgical hysteroscopy, transoesophageal echocardiography revealed air in the left but not in the right heart. Contrast echocardiography failed to demonstrate anatomical right-to-left shunts, making it likely that venous emboli overwhelmed the capacity of lungs to filter emboli, resulting in paradoxical embolization.

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