Department of Urology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Department of Medical College, Sun Yat-Sen University, Guangzhou, China.
J Int Med Res. 2022 Jun;50(6):3000605221102096. doi: 10.1177/03000605221102096.
Vascular air embolism (VAE) is a rare complication of percutaneous nephrolithotomy. Paradoxical air embolization resulting from VAE may be more likely to occur in patients with an atrial-septal defect, such as patent foramen ovale. Here, the case of a female patient with VAE that occurred during percutaneous nephrolithotomy is presented. Although the patient was diagnosed with patent foramen ovale, she recovered well without any severe paradoxical air embolization symptoms. To our knowledge, this is the first report of VAE with paradoxical air embolization that occurred in a patient with patent foramen ovale during percutaneous nephrolithotomy that was conducted without pneumopyelography.
血管空气栓塞（VAE）是经皮肾镜取石术的罕见并发症。VAE 导致的反常空气栓塞更可能发生在房间隔缺损患者，如卵圆孔未闭。在此，报告一例 VAE 在经皮肾镜取石术中发生的女性患者。尽管患者被诊断为卵圆孔未闭，但她恢复良好，没有出现严重的反常空气栓塞症状。据我们所知，这是首例在无气肾盂造影的情况下，经皮肾镜取石术中发生 VAE 伴反常空气栓塞的卵圆孔未闭患者的报告。
