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Case Reports
. 2023 Jan 18;7(5):185-188.
doi: 10.1016/j.case.2022.12.001. eCollection 2023 May.

When Insufflation Goes Awry: Massive Gas Embolism During Laparoscopic Surgery

Liam Kennedy  1 , Raffael Pereira Cezar Zamper  1   2
Affiliations
Case Reports

When Insufflation Goes Awry: Massive Gas Embolism During Laparoscopic Surgery

Liam Kennedy et al. CASE (Phila). .
No abstract available

Keywords: Carbon dioxide embolism; Cardiovascular collapse; Pneumoperitoneum; Transesophageal echocardiography.

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Figures

None
Graphical abstract
Figure 1
Figure 1
Two-dimensional TEE, midesophageal 5-chamber view (0°), diastolic phase, demonstrates a significant amount of echo-bright densities in the right heart.
Figure 2
Figure 2
Two-dimensional TEE, midesophageal short-axis view (80°), diastolic phase, demonstrates the right ventricular inflow-outflow display with a significant amount of echo-bright densities in the right heart.
Figure 3
Figure 3
Two-dimensional TEE, midesophageal 4-chamber view (18°), systolic phase approximately 5 minutes postconversion from laparoscopy to laparotomy, demonstrates a few remaining echo-bright densities in the right heart with adequate left ventricular filling and resolution of the previously noted leftward deviation of the atrial septum suggesting normalization of previously elevated RA pressures.
Figure 4
Figure 4
Two-dimensional TEE, midesophageal short-axis view (80°), systolic phase, demonstrates the right ventricular inflow-outflow display approximately 5 minutes postconversion to laparotomy with minimal amounts of echo-bright densities remaining in the right heart.
See this image and copyright information in PMC

References

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