Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Korean J Anesthesiol. 2014 May;66(5):388-91. doi: 10.4097/kjae.2014.66.5.388. Epub 2014 May 26.
Ethanol sclerotherapy for the treatment of low-flow vascular malformations can cause catastrophic cardiopulmonary complications, including pulmonary embolism and pulmonary hypertension, that can result in right heart failure and fatal arrhythmias, leading to death. We here report a case of abrupt cardiovascular collapse that developed immediately following ethanol sclerotherapy in 31-year-old female patient who had a large arteriovenous malformation in her leg. Anesthesiologists should be aware of the fatal cardiopulmonary complications that are associated with ethanol sclerotherapy and consider the use of invasive hemodynamic monitoring, such as pulmonary artery pressure monitoring, when large doses of ethanol are required.
乙醇硬化疗法治疗低流量血管畸形可引起灾难性心肺并发症，包括肺栓塞和肺动脉高压，可导致右心衰竭和致命性心律失常，导致死亡。我们在此报告一例 31 岁女性患者在腿部大动静脉畸形行乙醇硬化治疗后立即发生心血管崩溃的病例。麻醉师应意识到与乙醇硬化疗法相关的致命心肺并发症，并在需要大剂量乙醇时考虑使用侵入性血流动力学监测，如肺动脉压监测。
