Key result
CO2 insufflation during endoscopic vein harvesting can cause catastrophic massive right atrial embolism.
Why the study?
Carbon dioxide insufflation during endoscopic vein harvesting can cause rare but catastrophic CO2 embolism, requiring awareness and reporting.
Carbon dioxide insufflation during endoscopic vein harvesting can cause catastrophic CO2 embolism, particularly if venous injury occurs.
Vigilance for CO2 embolism is warranted during EVH; Level 5 case leaves open optimal prevention strategies.
Endoscopic vein harvesting (EVH) is becoming common for the patients undergoing coronary artery bypass grafting. Using carbon dioxide insufflations during the vein harvest can produce rare but catastrophic CO(2) embolism. We report a case of massive right atrial CO(2) embolism due to femoral vein injury which occurred during the performance of a routine EVH procedure.
No takes yet. Share an insight, caveat, or question.
Tamim et al. (2008) studied this question. Carbon dioxide insufflation during endoscopic vein harvesting can produce rare but catastrophic massive right atrial CO2 embolism due to femoral vein injury.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: