Chakravarti Rajesh, Singh Virendra, Isaac Rethish, John M Joseph
Department of Radiology and Medicine, Christian Medical College and Hospital, Ludhiana, Punjab, India.
Australas Radiol. 2004 Jun;48(2):204-6. doi: 10.1111/j.1440-1673.2004.01297.x.
A 63-year-old man with left upper zone haziness on chest X-ray and an infiltrative lesion with a pleural mass in the left upper lobe on CT scan was scheduled for CT-guided percutaneous trans-thoracic needle biopsy. During the procedure, the patient had massive haemoptysis and cardiorespiratory arrest and could not be revived. Post-mortem CT showed air in the right atrium, right ventricle, pulmonary artery and also in the left atrium and aorta. A discussion on paradoxical air embolism following percutaneous trans-thoracic needle biopsy is presented.
一名63岁男性,胸部X线显示左上肺野模糊,CT扫描显示左肺上叶有一个伴有胸膜肿块的浸润性病变,计划进行CT引导下经皮经胸针吸活检。在操作过程中,患者出现大量咯血和心肺骤停,未能复苏。尸检CT显示右心房、右心室、肺动脉以及左心房和主动脉内有气体。本文对经皮经胸针吸活检后反常空气栓塞进行了讨论。