Kumar Dinesh, Gadhinglajkar Shrinivas Vitthal, Moorthy Krishna, Bhandari Dhiraj
From the Departments of *Cardiac Thoracic & Vascular Anesthesia, and †Cardiology, Sri Chitra Tirunal Institute of Medical Science & Technology, Trivandrum, Kerala, India.
A A Case Rep. 2014 Mar 15;2(6):66-9. doi: 10.1213/XAA.0000000000000007.
Systemic air embolism is a complication after IV injection of air bubbles adhering to IV tubing, 3-way injection ports, and residual air in drug-filled syringes. Paradoxical air embolism across an intracardiac septal defect is a well-known complication, but paradoxical air embolism to the left coronary artery is a rare condition. We report the case of a 50-year-old woman scheduled for elective device closure of an atrial septal defect in whom coronary air embolism to the left anterior descending artery occurred after anesthetic induction.
系统性空气栓塞是静脉注射附着于静脉输液管、三通注射端口及充满药物注射器内残余空气的气泡后的一种并发症。经心内间隔缺损的反常空气栓塞是一种众所周知的并发症，但反常空气栓塞至左冠状动脉则是一种罕见情况。我们报告一例50岁女性患者，计划择期行房间隔缺损封堵术，在麻醉诱导后发生了左前降支冠状动脉空气栓塞。
