Lee Ha, Lee Hyun Soo, Moon Dulk Hwan, Lee Sungsoo
Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Korean J Thorac Cardiovasc Surg. 2020 Feb;53(1):34-37. doi: 10.5090/kjtcs.2020.53.1.34. Epub 2020 Feb 5.
Cerebral air embolism combined with cardiomyopathy secondary to pulmonary barotrauma is rare. Here, we report an unusual case of cerebral air embolism combined with transient cardiomyopathy secondary to large bulla rupture during a pulmonary function test after lung cancer surgery. The patient experienced loss of consciousness. Computed tomography and magnetic resonance imaging suggested a cerebral air embolism. Electrocardiography showed ST-segment elevation and abnormally high plasma levels of cardiac enzymes. Echocardiography and coronary angiography suggested cardiomyopathy. The patient was discharged with no sequelae.
脑空气栓塞合并继发于肺气压伤的心肌病较为罕见。在此,我们报告一例不寻常的病例,该患者在肺癌手术后进行肺功能测试期间,因大疱破裂继发脑空气栓塞合并短暂性心肌病。患者出现意识丧失。计算机断层扫描和磁共振成像提示脑空气栓塞。心电图显示ST段抬高,心肌酶血浆水平异常升高。超声心动图和冠状动脉造影提示心肌病。患者出院时无后遗症。