Amirghofran Ahmad Ali, Nick Narjes, Amiri Mina, Hemmati Rahim
Department of Cardiovascular Surgery, Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
J Extra Corpor Technol. 2016 Dec;48(4):198-200.
The patient was a 32-year-old woman who presented with infertility secondary to uterine didelphys. Hysteroscopic metroplasty was chosen as the corrective surgical procedure for this anatomical defect. During the surgical repair, the patient developed a massive air embolism (MAE) leading to hypotension, arrhythmia, and cardiogenic shock. Resuscitation was started by placing the patient in the right-side up position, and emplacement of central venous catheter, but it was unsuccessful. The decision was then made to bypass the patient's cardiopulmonary system to effectively treat the MAE. Cannulation was done via femoral vein and artery. During cardiopulmonary bypass (CPB), the MAE was quickly eliminated, oxygen saturation was normalized, and the patient was hemodynamically stabilized. The surgical repair was successfully completed and the patient was decannulated and recovered without any incident.
该患者为一名32岁女性，因双子宫继发不孕前来就诊。宫腔镜下子宫成形术被选为针对这一解剖缺陷的矫正手术。在手术修复过程中，患者发生了大量空气栓塞（MAE），导致低血压、心律失常和心源性休克。通过将患者置于右侧卧位并置入中心静脉导管开始复苏，但未成功。随后决定绕过患者的心肺系统以有效治疗MAE。通过股静脉和动脉进行插管。在体外循环（CPB）期间，MAE迅速消除，血氧饱和度恢复正常，患者血流动力学稳定。手术修复成功完成，患者拔管并顺利康复，无任何并发症。
